The Bishops Score generally follows this scale:
Score |
Dilatation |
Effacement |
Station |
Position |
Consistency |
0 |
cosed |
0-30% |
-3 |
posterior |
firm |
1 |
1-2cm |
40-50% |
-2 |
mid-line |
moderately firm |
2 |
3-4cm |
60-70% |
-1,0 |
anterior |
soft (ripe) |
3 |
5+ cm |
80+% |
+1, +2 |
|
|
Preeclampsia and each prior vaginal delivery also add one point each.
A point is subtracted from for:
Postdate pregnancy
Nulliparity (no prior births)
Premature or prolonged rupture of membranes (breaking of water)
Interpretation
cesarean rates: first time mothers women with past vaginal deliveries
scores of 0 – 3: 45% 7.7%
scores of 4 - 6: 10% 3.9%
scores of 7 - 10: 1.4% .9%
Induction is generally attempted when a mother has a favorable Bishop's score. A score of five or less is said to be "unfavorable." If induction is indicated, the mother would be a candidate for a cervical ripening agent. These are usually introduced one or two nights before the planned induction. A score of eight or nine would indicate that the cervix was very ripe and induction would have a high probability of being successful.
Your care provider can assist you in understanding and interpreting your Bishop's Score.