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The Bishop score as a determinant of labour induction success: a systematic review and meta-analysis

dc.contributor.authorTeixeira, Cristina
dc.contributor.authorLunet, Nuno
dc.contributor.authorRodrigues, Teresa
dc.contributor.authorBarros, Henrique
dc.date.accessioned2013-05-08T17:07:36Z
dc.date.available2013-05-08T17:07:36Z
dc.date.issued2012
dc.description.abstractPURPOSE: To evaluate the association between the Bishop Score and successful induction. STUDY STRATEGY AND SELECTION CRITERIA: We searched the PubMed and the lists of references of relevant studies to identify reports on the association between Bishop Score and achieving active phase of labour or vaginal delivery. DATA COLLECTION AND ANALYSIS: We abstracted crude or adjusted measures of association from studies. Summary odds ratio (OR) and summary hazard ratio (HR), and 95 % confidence interval (95 % CI) were obtained by random effects meta-analysis. Study heterogeneity was assessed using the I (2) test. RESULTS: Fifty-nine studies met the inclusion criteria. Analyses with crude ORs showed that women with higher versus lower Bishop Score were more likely to achieve vaginal delivery either with no time limit for this to occur, or within a certain time interval; the summary ORs according to the Bishop Score cutoff ranged from 1.98 (95 % CI: 1.58-2.48; I (2) = 36.6 %) to 5.48 (95 % CI: 1.67-17.96; I (2) = 0.0 %) and from 2.15 (95 % CI: 1.36-3.40; I (2) = 0.0 %) to 4.22 (95 % CI: 2.48-7.17; I (2) = 11.0 %), respectively. Summary estimates per unit increase in the Bishop Score, based on adjusted ORs, showed a positive association with achieving vaginal delivery, either with no time limit (OR(summary) = 1.33; 95 % CI: 1.13-1.56; I (2) = 66.1 %) or within a certain time interval (OR(summary) = 1.52; 95 % CI: 1.37-1.70; I (2) = 42.4 %). Summary HRs per unit increase in Bishop Score showed an association with induction to vaginal delivery (HR(summary) = 1.28; 95 % CI: 1.21-1.36; I (2) = 0.0 %), but not with induction to active phase (HR(summary) = 1.21; 95 % CI: 0.88-1.68; I (2) = 70.7 %) time interval. CONCLUSIONS: Bishop Score seems be a determinant of achieving vaginal delivery and is associated with induction-to-vaginal delivery time interval.por
dc.identifier.citationTeixeira, Cristina; Lunet, Nuno; Rodrigues, Teresa; Barros, Henrique (2012). The Bishop Score as a determinant of labour induction success: a systematic review and meta-analysis. Archives of Gynecology and Obstetrics. ISSN 0932-0067. 286:3, p. 739-753por
dc.identifier.doi10.1007/s00404-012-2341-3
dc.identifier.eissn1432-0711
dc.identifier.issn0932-0067
dc.identifier.urihttp://hdl.handle.net/10198/8378
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherSpringer - Archives of Gynecology and Obstetricspor
dc.subjectBishop scorepor
dc.subjectLabour inductionpor
dc.subjectPre-induction cervical statuspor
dc.subjectSuccessful labour inductionpor
dc.titleThe Bishop score as a determinant of labour induction success: a systematic review and meta-analysispor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceSpringer Heidelberg, Tiergartenstrasse 17, d-69121 Heidelberg, Germanypor
oaire.citation.endPage753por
oaire.citation.startPage739por
oaire.citation.titleArchives of Gynecology and Obstetricspor
oaire.citation.volume286por
person.familyNameTeixeira
person.givenNameCristina
person.identifier.ciencia-id6E12-F2A0-568F
person.identifier.orcid0000-0001-5194-5141
person.identifier.ridO-2296-2013
person.identifier.scopus-author-id55207402700
rcaap.rightsrestrictedAccesspor
rcaap.typearticlepor
relation.isAuthorOfPublication9037c83c-43c1-4714-ad3e-9f307dd1d89f
relation.isAuthorOfPublication.latestForDiscovery9037c83c-43c1-4714-ad3e-9f307dd1d89f

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