Prediction of vaginal delivery using Bishop’s score, modified Bishop’s score, and Levine’s score | ||||
The Egyptian Journal of Fertility and Sterility | ||||
Article 10, Volume 28, Issue 4 - Serial Number 11106352, July 2024, Page 89-96 PDF (3.13 MB) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/egyfs.2024.378196 | ||||
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Authors | ||||
Hanan M. Ghoneim1, 2; Omima T. Taha ![]() | ||||
1Assistant Professor of Obstetrics and Gynecology. Department of Obstetrics and Gynecology. Faculty of Medicine. Suez Canal University. Ismailia. Egypt | ||||
2Department of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal University, Ismailia, EGYPT | ||||
3Assistant professor of Obstetrics and Gynecology, Department of Obstetrics and Gynecology Faculty of Medicine, Suez Canal University | ||||
4Lecturer of Obstetrics and Gynecology, Department of Obstetrics and Gynecology Faculty of Medicine, Suez Canal University | ||||
Abstract | ||||
Abstract Background: Induction of labor is a common procedure in obstetrics. Women are anxious about their chances for successful vaginal delivery. Different scoring systems are available for the prediction of vaginal delivery. Objective: To determine the role of Bishop's score, modified Bishop's score, and Levine's score in the prediction of vaginal delivery. Study design: This prospective cohort study was conducted at the emergency department of obstetrics and gynecology from June 2022 to February 2023. All healthy, multiparous women with full-term pregnancies were recruited according to predetermined inclusion and exclusion criteria. The cervical length, and cervical assessment to determine the Bishop score were done. The modified bishop score was calculated. Levine's score was calculated using a web-based calculator. Patients were evaluated for a) Duration of the first stage of labor, b) Duration of the second stage of labor, c) total duration of labor, and e) The mode of delivery at the end. Results: The Levine score correlated significantly with the duration of the first stage of labor, total duration of labor, the dose of Misoprostol, and the mode of delivery (p-value 0.007, 0.008, 0.011, and 0.043, respectively). The dose of misoprostol (50 µg) and fetal head station predicted vaginal delivery significantly (OR 0.055, 95% CI 0.007- 0.408, p-value 0.005) (OD 0.143, 95% CI 0.035- 0.588, p-value 0.007). Conclusion: The Levine score correlated significantly with the mode of delivery. However, no score predicted vaginal delivery significantly. | ||||
Keywords | ||||
Keywords: vaginal delivery; bishop score; modified bishop score; Levine score | ||||
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