Bishop Score - Modified Bishop Score

Modified Bishop Score

According to the Modified Bishop's pre-induction cervical scoring system, effacement has been replaced by cervical length in cm, with scores as follows- 0>3 cm, 1>2 cm, 2>1 cm, 3>0 cm.


Another modification for the Bishop's score is the modifiers. Points are added or subtracted according to special circumstances as follows:

  • One point is added for:
    • 1. Existence of pre-eclampsia
    • 2. Every previous vaginal delivery
  • One point is subtracted for:
    • 1. Postdate pregnancy
    • 2. Nulliparity (no previous vaginal deliveries)
    • 3. PPROM; preterm premature (prelabor) rupture of membranes

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