A score of 5 or less suggests that labour is unlikely to start without induction. A score of 9 or more indicates that labour will most likely commence spontaneously.
A low Bishop's score often indicates that induction is unlikely to be successful. Some sources indicate that only a score of 8 or greater is reliably predictive of a successful induction.
Modified Bishop score
According to the Modified Bishop's pre-induction cervical scoring system, effacement has been replaced by cervical length in cm, with scores as follows: 0 for >3 cm, 1 for >2 cm, 2 for >1 cm, 3 for >0 cm.[6]
Another modification for the Bishop's score is the modifiers. Points are added or subtracted according to special circumstances as follows:
- One point is added for:
- 1. Existence of pre-eclampsia
- 2. Every previous vaginal delivery
- One point is subtracted for:
- 1. Postdate pregnancy
- 2. Nulliparity (no previous vaginal deliveries)
- 3. PPROM; preterm premature (prelabor) rupture of membranes
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