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obstetrics obgyn

Bishop Score (Cervical Ripeness for Induction)

Bishop score of cervical readiness for induction of labour. NICE NG207: 6 or less → cervical ripening methods; more than 6 → amniotomy and oxytocin; 8 or more generally indicates a ripe cervix.

Used in: Pre-eclampsia & Obstetric Emergencies

Score interpretation

Unfavourable Cervix (≤ 6) 0–6

Bishop score 6 or less: unfavourable cervix (NICE NG207).

→ Induce with vaginal dinoprostone or low-dose oral misoprostol, or consider a mechanical method (balloon catheter); reassess the Bishop score.

Score 7 (> 6) 7

Bishop score more than 6 (NICE NG207); below the score of 8 that generally indicates a ripe cervix.

→ Amniotomy and intravenous oxytocin infusion (NICE NG207).

Favourable Cervix (≥ 8) 8–13

Bishop score 8 or more: the cervix is ready; high chance of successful induction.

→ Amniotomy and intravenous oxytocin infusion (NICE NG207).

Interpretation bands for the Bishop Score. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.