Bishop Score
The Bishop Score is an obstetric scoring system for assessing the maturity of the cervix . It is a semi-quantitative method to determine the consistency and the width of the cervix , the position and the shortening of the cervix , as well as the position of the anterior part of the unborn child in the pelvis . The determined maturity of the cervix is used, if necessary, to make a decision on how to initiate a birth . The Bishop Score has been the most frequently used score to assess cervical maturity for over 45 years.
Creation of the score
A total number of points is calculated based on five criteria, with 0-2 points being awarded twice or 0-3 points three times, so that a score of 0 to 13 can be achieved.
| Finding | 0 points | 1 point | 2 points | 3 points |
| Portio shortening | 0-30% | 40-50% | 60-70% | > 80% |
| Postage consistency | Rough | medium | Soft | - |
| Portiolage | Sacred | Mediosacral | Centered | - |
| Cervical width | Closed | 1-2 cm | 3-4 cm | > 5 cm |
| Height of the previous part relative to the interspinous plane | - 3 | - 2nd | - 1 | > = 0 |
background
The Bishop Score was originally developed by EH Bishop in 1964 to investigate how multiparous women respond to induction with oxytocin, i.e. what vaginal findings pregnant women react to induction with oxytocin with obstructive labor . The result of this investigation was that with a Bishop score of> 9, induction with oxytocin leads to birth within four hours.
source
- Hösli, I., Lapaire, O. & Voekt, C. (2009), "Which induction method is the best? - A comparison", Die Midamme 4-2008
Individual evidence
- ^ Bishop, EH (1964), Pelvic Scoring for elective induction. Obstet Gynecol, 1964, 24, 266-268. PMID 14199536