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    The Bishop Score

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    JheanAlphonsineT.Means
    The Bishop score is used to predict the likelihood of spontaneous labor or successful induction of labor. It evaluates cervical dilation, effacement, station, consistency, and position, with higher scores indicating greater likelihood of vaginal delivery. A score of 8 or more predicts a good chance of vaginal delivery while a score of 6 or less predicts a low chance.

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    The Bishop Score

    Uploaded by

    JheanAlphonsineT.Means
    373 views3 pages
    The Bishop score is used to predict the likelihood of spontaneous labor or successful induction of labor. It evaluates cervical dilation, effacement, station, consistency, and position, with higher scores indicating greater likelihood of vaginal delivery. A score of 8 or more predicts a good chance of vaginal delivery while a score of 6 or less predicts a low chance.

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    The Bishop Score

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    The Bishop score is used to predict the likelihood of spontaneous labor or successful induction of labor. It evaluates cervical dilation, effacement, station, consistency, and position, with higher scores indicating greater likelihood of vaginal delivery. A score of 8 or more predicts a good chance of vaginal delivery while a score of 6 or less predicts a low chance.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    373 views3 pages

    The Bishop Score

    Uploaded by

    JheanAlphonsineT.Means
    The Bishop score is used to predict the likelihood of spontaneous labor or successful induction of labor. It evaluates cervical dilation, effacement, station, consistency, and position, with higher scores indicating greater likelihood of vaginal delivery. A score of 8 or more predicts a good chance of vaginal delivery while a score of 6 or less predicts a low chance.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
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    At a glance
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    The Bishop score is used to predict the likelihood of spontaneous labor and success of labor induction based on cervical examination findings. A higher score indicates a higher chance of successful induction or imminent spontaneous labor.

    The Bishop score is used to evaluate the likelihood of a successful vaginal delivery, both for women who have given birth before (multiparous) and women who have never given birth (nulliparous) being considered for induction of labor.

    Points are assigned based on dilatation (0-3 points), effacement (0-3 points), station (0-3 points), with higher points indicating more favorable cervical changes. Dilatation measures cervical opening, effacement measures thinning, and station measures baby's position in the pelvis.

    The Bishop’s score was originally developed to predict the likelihood of a

    woman entering labor naturally in the near future. A woman with a low score
    of 1 would not expected go into labor for about 3 weeks. A woman with a
    higher score score of 10 could be expected to go into labor within a few
    days.

    Although the Bishop’s score was originally used to evaluate the likelihood of
    vaginal delivery in women who have given birth before (multiparous) it is also
    now used for women who have never given birth (nulliparous) who are being
    considered for induction of labor.

    If the Bishop score is 8 or greater the chances of having a vaginal


    delivery are good and the cervix is said to be favorable or "ripe" for
    induction. If the Bishop score is 6 or less the chances of having a
    vaginal delivery are low and the cervix is said to be unfavorable or
    "unripe" for induction.

    A simplified Bishop score using only dilation, station and effacement may be
    as predictive of successful induction as the original full Bishop score. A
    simplified Bishop score of 5 had a similar predictive value of having a
    successful vaginal delivery as an original Bishop score of greater than 8.

    How The Points Are Assigned

    Dilatation (Dilation)
    The most important element of the Bishop score is dilatation.
    Dilatation is the distance the cervix is opened measured in
    centimeters (cm) . For reference a penny is about 2 cm across.
    Points are given from 0 to a maximum of 3 points for a cervix dilated to 6 cm
    or greater.
    Effacement

    Effacement (also called shortening or thinning) is reported as a percentage


    from zero percent (normal length cervix) to 100% or complete (paper thin
    cervix). Points are given from 0 to a maximum of 3 points for a cervix effaced
    to 80 % or greater.

    Image credit: National Institutes of Health 2011.


    Station

    Station is the position of the baby's head


    relative to the bony projections of the
    lower pelvis called the ischial spines.
    When the baby's head is at 0 station its
    head is even with the ischial spines.
    Stations divides the pelvis above and
    below the ischial spines into 3rds
    Negative numbers indicate that the head
    is above the ischial spines. Positive
    numbers indicate its head is below the
    ischial spines.

    Points are given from 0 to a maximum of (c) LifeART / www.fotosearch.com Stock Photography
    3 points for a station of 1 + or 2+.

    In 1988, the American College of Obstetricians and Gynecologists redefined


    station as the level of the leading bony point of the fetal head at or below the
    level of the maternal ischial spines measured in centimeters (0–5 cm).

    Consistency

    The texture of the cervix on examination.


    Firm : The cervix feels hard and rubbery .
    Medium: The cervix feels compressible but not soft
    Soft : The cervix feels mushy

    Position

    The position of the cervix relative to the fetal


    head and maternal pelvis

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