Is the Bishop-score significant in predicting the success of labor induction in multiparous women?

D. Navve*, N. Orenstein, R. Ribak, Y. Daykan, G. Shechter-Maor, T. Biron-Shental

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Objective: To determine whether the Bishop-score upon admission effects mode of delivery, maternal or neonatal outcomes of labor induction in multiparous women. Study Design: A retrospective study including 600 multiparous women with a singleton pregnancy, 34 gestational weeks and above who underwent labor induction for maternal, fetal or combined indications. Induction was performed with one of three methods -oxytocin, a slow release vaginal prostaglandin E2 insert (10 mg dinoprostone) or a transcervical double balloon catheter. The women were divided into two groups - Bishop-score <6 and Bishop-score ≥6. We evaluated labor course, maternal complications (postpartum hemorrhage, manual lysis, uterine revision, perineal tear grade 3-4, need for blood transfusions, relaparotomy, prolonged hospitalization) and neonatal outcomes (Apgar score, cord pH, hospitalization in the neonatal intensive care unit, prolonged hospitalization). Results: Both groups had a high rate of vaginal deliveries - 93.7% and 94.9%, respectively. There was no difference between the two groups in terms of maternal or neonatal outcomes. Conclusion: Labor induction in multiparous women is safe and successful regardless of the initial Bishop-score. In multiparous women the Bishop-score is not a good predictor for the success of labor induction, nor is it a predictor for maternal of neonatal adverse outcomes and complications.

Original languageEnglish
Pages (from-to)480-483
Number of pages4
JournalJournal of Perinatology
Volume37
Issue number5
DOIs
StatePublished - 1 May 2017

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