TITLE:
Relationship between Bishop Score and Success of Induction of Labour in Federal Teaching Hospital, Abakaliki, Ebonyi State
AUTHORS:
Arinze Chidiebele Ikeotuonye, Chidebe Christian Anikwe, Johnson Akuma Obuna, Bartholomew Chukwunonye Okorochukwu, Brown Nnamdi Ejikeme, Chinedu Chukwuemeka Ifemelumma, Ifeoma Cecilia Ekwunife, Francis Chigozie Okoroafor
KEYWORDS:
Bishop Score, Induction of Labour, Induction Delivery Interval, Latent Period Interval, Misoprostol
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.11,
September
7,
2018
ABSTRACT: Background: The ripeness of the cervix is of critical importance to the probability
of successful labour induction. Aim: To
determine the relationship between successful induction of labour and Bishop score. Materials
and Methods: A retrospective study of all obstetric patients who had induction of labour
between January 1st 2012 and December 31st 2015 was done in Federal
Teaching Hospital Abakaliki. The information obtained from patients’ case notes
was analyzed using descriptive and inferential statistics at an alpha level of
0.05 for all statistical tests. Results: During
the study period, there were 9548 deliveries; 2.76% (264) was by induction of
labour with success rate of 75.4%. The mean age of the women was 28.4 ± 5.8
years; majority where nulliparous (45.45%). The most common indication for induction of labour was postdatism
(43.94%). Success of induction of labour was most likely at Bishop score of 8
to 10 (OR = 0.79, 95% CI 0.72 - 0.84).
Induction delivery interval was shortest with use of Foley catheter and
misoprostol. Conclusion: Our study has shown that success of induction of labour was most likely
at Bishop Score of 8 - 10. We advocate the use of Foley catheter and misoprostol for cervical
ripening especially when there is need to expedite delivery.