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Obstetrics and gynaecology

Bishop Score

5 inputsObstetrics and gynaecology

Cervical favourability for induction of labour.

Bishop Score calculator

Result

0/13

Unfavourable cervix — cervical priming required (prostaglandin/balloon)

Cervical Dilation (cm)
Effacement (%)
Station
Cervical Consistency
Cervical Position

How to use it

  1. 1

    Vaginal examination by midwife or obstetrician. Assess dilation, effacement, station, consistency, and position.

  2. 2

    Score ≤ 5: unfavourable. Pre-induction cervical ripening with prostaglandins or balloon catheter.

  3. 3

    Score ≥ 9: favourable. Direct oxytocin infusion or ARM without prior ripening.

When to use it

Induction of labour (IOL)
Guides method of IOL at ≥37 weeks (post-dates, medical indications).
IOL success prediction
Bishop ≤ 5: 40% CS rate. Bishop ≥ 9: lower CS rate.
VBAC assessment
Favourable Bishop supports planned vaginal birth after CS.

A reference for clinicians and students, not medical advice. A score supports a decision; it does not make one. Check every result against the patient in front of you and your local protocol.

At a glance

Specialty
Obstetrics and gynaecology
Inputs
5
Type
Points score

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