BISHOP score and APGAR

Question 1

what is Bishop score

Answer 1

The Bishop score is a scoring system used to determine whether to induce labour.

Question 2

indications for induction of labour

Answer 2

prolonged pregnancy
PPROM
obstetric cholestasis
diabetes > 38w

Question 3

Interpretation

Answer 3

a score of < 5 indicates that labour is unlikely to start without induction
a score of ≥ 8 indicates that the cervix is ripe, or ‘favourable’ - there is a high chance of spontaneous labour,

Question 4

components of bishop score

Answer 4

Call PEDS For Parturition

Cervical - position, effacement, dilatation, softness, fetal station

position - posterior , intermediate, anterior
effacement - 0-30,40-50,60-70, 80
dilatation - <1,1-2. 3-4, >5
softness- form, intermediate, soft
fetal station -3,-2,-1 to 0, +1,+2

Question 5

induction of labour based on bishop score

Answer 5

<6 : vaginal prostaglandins/ oral misoprostol
>6 : amniotomy + IV oxytoxin

Question 6

complications of Induction

Answer 6

uterine hyperstimulation
prolonged and infrequent uterine uterine contractions
interruption of blood flow which can cause uterine rupture, fetal hypoxia

Question 7

management of uterine hyperstimulation

Answer 7

remove prostaglandins, consider tocolysis