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ARE YOU HAVING A HOLIDAY BABY?

 

My friends at “Preparing For Birth” posted the following…

“Induction is serious business — the holiday season is upon us — be wary of convenience labor induction to avoid a holiday birth day — knowing your bishop score can help you make this decision.”

This really got me thinking as I have several holiday babies scheduled in the next few weeks.

I started really looking at the Bishop Score to see how all of my mommies are faring at this point. And then I began to consider how care providers look at this and make their determinations.

If in the next few weeks, as these women have their next round of appointments, and their care providers start talking induction, what is my appropriate behavior as a certified DONA doula? I know it is not appropriate for me to contradict the medical professional or give any kind of advice at all. After all…I am not medically trained.

But it is within the scope of my profession to supply information so that informed decisions may be made by these future mommies.

And so…..I choose to post the Bishop Score.

Parameter/Score      0                       1                             2                       3

Position                Posterior      Intermediate       Anterior

 

Consistency         Firm              Intermediate       Soft

 

Effacement           0-30%           31-50%                   51-80%           >80%

 

Dilation                 0 cm                 1-2 cm                   3-4 cm             >5 cm

 

Fetal Station         -3                      -2                            -1,0                   +1, +2

Here’s how it works… Next time you have a vaginal examine  (at 40 weeks plus unless you really want to consider induction before full term)  you might ask your provider the following: uterine position, cervical consistency, cervical effacement, dilation, and the station of your baby.                                            You can find definitions of these terms in a good reference book such as Pregnancy, Childbirth and the Newborn by Simkin et al., or TheThinking Woman’s Guide to a Better Birth by Henci Goer.

“A score of 5 or less suggests that labour is unlikely to start without induction.  A score of 9 or more indicates that labour will most likely commence spontaneously.                                                                                                                                          A low Bishop’s score often indicates that induction is unlikely to be successful. Some sources indicate that only a score of 8 or greater is reliably predictive of a successful induction.”                                                                                                                   From Wikipedia

Wait a minute……I ask you to consider these two paragraphs  again. Hmmm…

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

From Wikipedia

Just some things to consider.

As I always say……your body, your baby, your birth!

And Happy Holidays!!!

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