Prediction of vaginal delivery using Bishop’s score, modiﬁed Bishop’s score, and Levine’s score

Ghoneim, Hanan M.; Taha, Omima T.; Mohammed, Omnia O.; Ibrahim, Mohamed F.

doi:10.21608/egyfs.2024.378196

Prediction of vaginal delivery using Bishop’s score, modiﬁed Bishop’s score, and Levine’s score

Document Type : Original Article

Authors

¹ Assistant Professor of Obstetrics and Gynecology. Department of Obstetrics and Gynecology. Faculty of Medicine. Suez Canal University. Ismailia. Egypt

² Department of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal University, Ismailia, EGYPT

³ Assistant professor of Obstetrics and Gynecology, Department of Obstetrics and Gynecology Faculty of Medicine, Suez Canal University

⁴ Lecturer of Obstetrics and Gynecology, Department of Obstetrics and Gynecology Faculty of Medicine, Suez Canal University

10.21608/egyfs.2024.378196

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.

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