Induction of labor with oxytocin for initiating labor pains before
spontaneous starting of pains is one of the ways of terminating pregnancy
and it is used for various maternal or fetal indications. Bishop containing five
cervical characteristics (dilatation-effacement-position – presenting part
station – consistency) is scored from 0-10 and it is probably an effective
factor on successful labor induction. The aim of this study was to find
relation of Bishop score with the rate of success in induction of labor.
377 pregnant women with G.A>37 weeks who were candidates of labor
induction for maternal or fetal indications were enrolled into the study. After
determinating Bishop score by vaginal examination, induction of labor with
oxytocin was performed in all patients.
Successful labor induction rate was 91.3% and failure rate was 8.7%.
Vaginal delivery and cesarean section rate were 76.39% and 23.61%
respectively and both successful induction and vaginal delivery were higher
in multiparous in comparison to nulliparous women. There was a significant
relation between Bishop score and successful labor induction or vaginal
delivery (P=0.0001, P=0.0088). Cervical dilation was the only component in
the Bishop which showed significant relation with successful labor induction
and vaginal delivery. Duration of labor induction and time of reaching to
active phase (dilation=4cm) was different in different groups of Bishop
score.
Generally success of induction was desirable in all groups of Bishop
score, but considering the significant difference of groups in failure rate of
induction, Bishop can be used as a valuable predicting factor. Bishop scores
of more than four is associated with higher rate of successful labor induction
and lower rate of cesarean.
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