Reassessing the Bishop score in clinical practice for induction of labor leading to vaginal delivery and for evaluation of cervix ripening

Kuba, Kfier; Kirby, Michael A.; Hughes, Francine; Yellon, Steven M.

doi:10.54844/prm.2023.0353

Cited by 4 publications

(3 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, it has multiple shortcomings as compared to current practice. Bishop's original scoring system for induced labor, developed nearly 60 years ago, focused on achieving vaginal delivery (VD) within four hours and elective induction at term for multiparous women with prior vaginal births [6]. However, modern obstetrics predominantly involves labor induction for maternal or fetal indications, often in nulliparous women and pre-term pregnancies, with outcomes evaluated within 24 hours and advanced induction methods.…”

Section: Introductionmentioning

confidence: 99%

“…However, modern obstetrics predominantly involves labor induction for maternal or fetal indications, often in nulliparous women and pre-term pregnancies, with outcomes evaluated within 24 hours and advanced induction methods. Despite these significant shifts, Bishop score (BS) is widely used, lacking empirical evidence for its effectiveness in today's diverse and medically complex patient population [6]. The increased utilization of BS in obstetrics may be attributed to recent developments in the ARRIVE trial [7].…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, contemporary methods of labor induction differ significantly from those employed during Bishop's era, which predominantly involved oxytocin and amniotomy. Nowadays, there is a range of new pharmacological agents and mechanical techniques designed to imitate the cervical changes believed to precede natural labor [6]. While BS continues to be widely utilized, it is marred by substantial inter-and intra-observer variability.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparing Transvaginal Ultrasound Measurements of Cervical Length to Bishop Score in Predicting Cesarean Section Following Induction of Labor: A Prospective Observational Study

Sinha,

Gupta,

Meena

2024

Cureus

View full text Add to dashboard Cite

Introduction: Bishop score (BS) has been used to see the favorability of the cervix for induction of labor (IOL), but it has limitations in today's diverse patient population. We aimed to assess the predictive value of transvaginal ultrasound (TVUS) measurements of cervical length (CL) compared to BS in determining the likelihood of cesarean section (CS) following IOL. Methodology: A prospective observational study was conducted on 120 women requiring IOL in a tertiary care hospital in central India. The inclusion criteria of the study were antenatal women more than 18 years of age, in need of IOL, having a singleton pregnancy with a gestational age of > 37 weeks as determined from the date of the last menstrual period and confirmed by sonographic measurements in the first trimester, presenting with a cephalic presentation, and having intact fetal membranes. Women with prior uterine scars and those unwilling to IOL were excluded from the study. TVUS was done just before induction. Statistical analyses were done to compare the predictive abilities of CL and BS for CS. Results: The mean age and gestation period were 25.96 years and 39 weeks 3 days, respectively. The majority of the study population comprised multigravida (69, 57.5%), followed by primigravida (47, 39.2%), and grand multigravida (≥ G5) (4, 3.3%). Post-maturity (34, 28.3%), preeclampsia (21, 17.5%), and intrahepatic cholestasis of pregnancy (17, 14.2%) were common indications for induction. The overall CS rate was 35.8% (43/120). Women with CS had lower BS (3.60 vs. 4.70, P = 0.010) and higher CL (31.5 mm vs. 23.4 mm, P < 0.001). CL exhibited an area under the curve (AUC) of 0.857, outperforming BS (AUC = 0.643) in predicting CS. Using a CL cutoff of 26.5 mm yielded sensitivity (79.1%), specificity (81.8%), and overall accuracy (80.8%). Conclusions: TVUS measurement of CL (>26.5 mm) demonstrated superior predictive ability for CS following labor induction compared to BS (≤5). This study highlights the potential of CL measurement as an objective and reliable tool for optimizing decision-making in labor induction.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparing Transvaginal Ultrasound Measurements of Cervical Length to Bishop Score in Predicting Cesarean Section Following Induction of Labor: A Prospective Observational Study

Sinha,

Gupta,

Meena

2024

Cureus

View full text Add to dashboard Cite

show abstract

Relationships Among Mode of Birth, Onset of Labor, and Bishop Score

Winner,

Graves,

Jarvis

et al. 2024

Journal of Obstetric, Gynecologic & Neonatal Nursing

View full text Add to dashboard Cite

Assessing the effectiveness of membrane sweeping combined with cervical massage for term pre-induction cervical ripening: A single experimental study

Mylsamy,

Supriya,

Sekar

et al. 2024

IJOGR

View full text Add to dashboard Cite

Massage of the cervical region entails applying light pressure to the cervix to trigger the uterine contractions. Membrane sweeping, often called cervical sweeping or membrane stripping, releases hormones that may start labor by removing the amniotic sac from the uterine wall. Although membrane sweeping is helpful in several clinical trials, no studies have examined how effective cervical massage is when combined with membrane sweeping.This research compared the effectiveness of membrane sweeping and cervical massage as cervical ripening techniques in post-dated pregnancies before labor induction in specialized clinics. A total of 150 low-risk singleton pregnancies with a Modified Bishop Score (MBS) of fewer than five at 38 weeks of gestation were included. The experimental group received membrane sweeping with cervical massage, and the control group, which just received membrane sweeping, was randomly allocated to the participants. 48 hours after the intervention, changes in the MBS were used to gauge cervical favorability. Neonatal morbidity, membrane rupture, intrapartum and postpartum infections, and other complications were assessed.The mean ages and MBS of the primigravidae in the two research groups at induction were similar. After the intervention, the trial group's mean MBS was significantly higher than the control groups. Because of this, primigravidae observed a substantial change in the MBS after the operation. The experimental group's adverse effects and neonatal morbidity were comparable, except cardiotocographic abnormalities were observed more often in the control group.In some cases, when membrane sweeping cannot be conducted because of a closed cervical os, cervical massage combined with membrane sweeping appears successful and secure. A significant choice for obstetric care, this technique may aid cervical softening in post-dated pregnancies.

show abstract

Reassessing the Bishop score in clinical practice for induction of labor leading to vaginal delivery and for evaluation of cervix ripening

Abstract: Peer review under responsibility of the Editorial Board.

Cited by 4 publications

References 21 publications

Comparing Transvaginal Ultrasound Measurements of Cervical Length to Bishop Score in Predicting Cesarean Section Following Induction of Labor: A Prospective Observational Study

Comparing Transvaginal Ultrasound Measurements of Cervical Length to Bishop Score in Predicting Cesarean Section Following Induction of Labor: A Prospective Observational Study

Relationships Among Mode of Birth, Onset of Labor, and Bishop Score

Assessing the effectiveness of membrane sweeping combined with cervical massage for term pre-induction cervical ripening: A single experimental study

Contact Info

Product

Resources

About