Are any of you using Bishop's scores for how ripe the cervix is before deciding which type of induction is appropriate? One of our Doc's started doing it and now the RN's are pushing all the docs. Seems to be helping! LB

Get those bishops out of the OB-GYN depts before there's another church scandal!!!

Originally posted by prmenrs

Get those bishops out of the OB-GYN depts before there's another church scandal!!!

:chuckle

The only time I've ever used a bishop's score was when I was involved in a research study with foley bulb inductions. The pt. had to have a certain bishop's score to qualify for the study.

BTW, that method may work, but I hate it......it HURTS my patients like HELL!!!! Who was the sadist that came up with that, anyway????????

Our docs are using them again. Went out of vogue for awhile, but are now back in style. We even have a chart to review the score and use them to evaluate when to send a patient home in early labor or elect to keep them. Around this area the bishop score it utilized...

WE USE THEM WHEN PLACING CYTOTEC OTHERWISE WE HAVE NO CURRENT USE FOR IT.

no. although i do not know why since we do so much "social induction"...........i really dont' know why not.

My facility does not formally use Bishop's Scores on our patients...

However, we are often asked to do a VE and then report to the physician, who then orders how the patient is to be induced, be it elective OR medically indicated inductions.

Since I know the difference between a favorable cervix and one that is "slammed shut, thick and high", I always chart my initial exam with all the info needed to do a formal Bishop's Score, so no one can mistake what I was feeling...in court!

ex: dilatation, effacement, station of presenting part, position of cervix (anterior, mid or posterior), mobility of cervix (fixed or movable), and softness (ripe vs unripe; soft vs firm.)

Why go to this length? So that if the Bishop's score is a 1 or 2 and the MD orders pitocin, whomever reviews this chart for the c/s for failed induction won't accuse me of not telling the MD all the info available!

Many times the Docs are NOT familiar with the formal scoring system, but will listen to my suggestions if they know the cervix is in need of ripening before pitocin.

originally posted by prmenrs

get those bishops out of the ob-gyn depts before there's another church scandal!!!

:rotfl: :rotfl: :rotfl: :rotfl: :rotfl:

We use it all the time. We have a chart with pre and post prostaglandin scoring. The score is done before and after all prostaglandins, usually before Pit too, unless the cervix is very obviouly ripe.

Don't formally use them, but all the info necessary for a Bishop's score is assessed and charted anyways, when it needs to be.