Open Journal of Obstetrics and Gynecology, 2018, 8, 980-992
http://www.scirp.org/journal/ojog
ISSN Online: 2160-8806
ISSN Print: 2160-8792
Relationship between Bishop Score and Success
of Induction of Labour in Federal Teaching
Hospital, Abakaliki, Ebonyi State
Arinze Chidiebele Ikeotuonye
1
, Chidebe Christian Anikwe
1*
, Johnson Akuma Obuna
1
,
Bartholomew Chukwunonye Okorochukwu
2
, Brown Nnamdi Ejikeme
1
,
Chinedu Chukwuemeka Ifemelumma
1
, Ifeoma Cecilia Ekwunife
1
,
Francis Chigozie Okoroafor
1
1
Department of Obstetrics and Gynaecology, Federal Teaching Hospital Abakaliki Ebonyi State, Abakaliki, Nigeria
2
Department of Obstetrics and Gynaecology, Federal Medical Centre, Owerri, Nigeria
Abstract
Background: The ripeness of the cervix is of critical importance to the proba-
bility of successful labour induction. Aim: To determine the relationship be-
tween successful induction of labour and Bishop score. Materials and Me-
thods: A retrospective study of all obstetric patients who had induction of la-
bour between January 1
st
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 nul-
liparous (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.
Keywords
Bishop Score, Induction of Labour, Induction Delivery Interval, Latent Period
Interval, Misoprostol
How to cite this paper: Ikeotuonye, A.C.,
Anikwe, C.C., Obuna, J.A., Okorochukwu,
B.C., Ejikeme, B.N., Ifemelumma, C.C.,
Ekwunife, I.C. and Okoroafor, F.C. (2018)
Relationship between Bishop Score and
Success of Induction of Labour in Federal
Teaching Hospital, Abakaliki, Ebonyi State.
Open Journal of Obstetrics and Gynecolo-
gy, 8, 980-992.
https://doi.org/10.4236/ojog.2018.811099
Received: August 2, 2018
Accepted: September 4, 2018
Published: September 7, 2018
Copyright © 2018 by authors and
Scientific Research Publishing Inc.
This work is licensed under the Creative
Commons Attribution International
License (CC BY 4.0).
http://creativecommons.org/licenses/by/4.0/
Open Access
DOI: 10.4236/ojog.2018.811099 Sep. 7, 2018 980 Open Journal of Obstetrics and Gynecology