Childbirth/Bishop Score

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Expert: - 1/17/2009


Question
i am scared of possible c-section if i need to be induced. I heard that bishob score is a good indicator for labor induction to go either well or bad. please explain bishob score so I have the facts if I need to be induced. Thank you!

Answer
Vivianne,

You are correct that induction has been shown to increase the risk of c-section by 4 times as much as that of going into labor on your own.

A Bishop's Score refers to a group of measurements used to determine whether a woman's cervix is ripe for induction. The Bishop's score alone should never be used as one of the reasons to induce labor. The Bishop's Score is based on baby station, dilation, effacement, position and consistency. A score from 7-10 is most desirable when considering induction.

Here is an article that discusses both the true reasons to consider an induction as well as covering how to calculate a Bishop's score:  http://www.givingbirthnaturally.com/reasons-to-induce.html

If you wish to lower your chances of needing a c-section, then refuse an induction unless it is specifically medically necessary or you are more than 42 weeks and labor hasn't begun on its own.


Best,
Catherine

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Catherine Beier MS CBE

Expertise

I can provide evidence-based information and current research findings concerning childbirth and pregnancy. My specializations include natural childbirth, pregnancy and birth interventions, fetal positioning, labor induction, choosing a care provider, midwives, homebirth, unassisted birth, natural pain relief, medications in pregnancy and birth, informed consent, understanding the risks and benefits of childbirth choices, doulas, waterbirth, childbirth methods, childbirth education classes, cesarean section, and VBAC.

Experience

I have been a childbirth educator, mother, author, public speaker, researcher, and birth advocate for the past 9 years. I am also the author of Giving Birth Naturally, a site dedicated to natural childbirth and pregnancy information. I publish evidence-based articles on pregnancy, childbirth, newborn care, and post-partum care. I'm also a mother of three children, two daughters and one son all born naturally. To learn more about what normal birth looks like, view the natural childbirth video of my son being born at home unassisted.

Publications
My book, Birth Outside the Box, was published in 2007.

Education/Credentials
I hold a Master's degree in communication disorders with an emphasis in child development. I am also an independent childbirth educator.

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