TY - JOUR
T1 - Is the Bishop-score significant in predicting the success of labor induction in multiparous women?
AU - Navve, D.
AU - Orenstein, N.
AU - Ribak, R.
AU - Daykan, Y.
AU - Shechter-Maor, G.
AU - Biron-Shental, T.
N1 - Publisher Copyright:
© 2017 Nature America, Inc., part of Springer Nature. All rights reserved.
PY - 2017/5/1
Y1 - 2017/5/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85011826484&partnerID=8YFLogxK
U2 - 10.1038/jp.2016.260
DO - 10.1038/jp.2016.260
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C2 - 28181995
AN - SCOPUS:85011826484
SN - 0743-8346
VL - 37
SP - 480
EP - 483
JO - Journal of Perinatology
JF - Journal of Perinatology
IS - 5
ER -