In a secondary analysis of two major studies, researchers assessed outcomes in women undergoing induction of labor compared to expectant management with a cervical Bishop score of < 6.
1406 women had a Bishop score of <6 and after random allocation, 572 were induced while 600 were monitored expectantly. Analysis showed:
The data for this study (Bernardes, et al., BJOG, 2016) was obtained from two multi-centered, controlled randomized trials, HYPITAT and DIGITAT, which included women with gestational hypertension/mild preeclampsia and suspected intrauterine growth restriction (IUGR) respectively. Both studies assessed women who were between 36 and 41 weeks, with a singleton fetus and cephalic presentation. While these original studies demonstrated that induction did not increase cesarean section rates, the question remains whether this was still true when the cervix was unripe.
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