Document Detail

Bishop score: a poor diagnostic test to predict failed induction versus vaginal delivery.
MedLine Citation:
PMID:  9521363     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: We evaluated the accuracy of the Bishop score in predicting the likelihood of successful labor induction (entry into active phase) in nulliparous and multiparous women. METHODS: During an index year, all patients having induction of labor and a preinduction Bishop score were included in a standard protocol for cervical ripening and use of oxytocin. Receiver-operating characteristic (ROC) curves were constructed for Bishop scores (0 to 11) to predict abdominal delivery for failed induction (final cervical dilation <4 cm) versus vaginal delivery. RESULTS: Parturients who had vaginal delivery (n = 253) and those in whom attempted induction failed (n = 38) did not differ significantly with respect to maternal demographics, length of gestation, Bishop score and its distribution, and infant birth weight. The area under the ROC curve did not differ significantly from the area under the nondiagnostic line. CONCLUSION: The Bishop score appears to be a poor predictor of the outcome of labor induction.
N W Hendrix; S P Chauhan; J C Morrison; E F Magann; J N Martin; L D Devoe
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Southern medical journal     Volume:  91     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  1998 Mar 
Date Detail:
Created Date:  1998-04-02     Completed Date:  1998-04-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  248-52     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Medical College of Georgia, Augusta 30912-3350, USA.
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MeSH Terms
Cervix Uteri / physiology*
Cesarean Section
Chi-Square Distribution
Delivery, Obstetric*
Labor, Induced*
Physical Examination / methods*
Pregnancy Outcome
ROC Curve
Vagina / physiology*

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