The Bishop Score Score 0 1 2 3 Dilation of cervix in centimeters 0 1 or 2 3 or 4 5 or more Consistency Firm Medium Soft   Length <2cm 2-1 1-0.5 cm <0.5cm Position Posterior Central Anterior   Station of presenting part -3 -2 -1 or 0 Below ischial spines   What is the Bishop Score? The Bishop Score is a scoring system used to assess the cervix during induction of labour.   During labor, there is spontaneous softening, shortening, effacement, and dilation of cervix. Cervix also moves forward from posterior position to more anterior position.   Factors more favourable for labor are Dilated cervix Soft consis...

Different methods of induction of labour are: Membrane Sweeping This method is only performed at term and placenta previa is ruled out prior to the procedure. After cervix begins to dilate, a gloved finger is inserted through the cervix and is rotated around the inner rim of cervix. In this method chorionic membrane is stripped off from underlying decidua which causes release of natural prostaglandins.   Prostaglandin Prostaglandin is available in form of gel, pessary, or tablet. PG E2 is the most common formulation. It can be inserted vaginally into the cervix to ripen cervix and initiate contractions.   Artificial rupture of membranes Prostaglandin alone may not be sufficient for a successful induction of labour especially in primiparous women. In cases Artificial rupture of Membranes and Oxytocin are used.   Oxytocin Oxytocin can be used after rupture of membranes. It is   given in IV infusion as dilute solution.   3-5 cont...