[Bishop score and outcome of labor in pregnancy < or = 32 weeks of gestation].
The purpose of this study was to find correlation between early changes in Bishop score and the subsequent method of delivery < or = 32 g.w.


METHODS
A prospective study for five years period (2006 - 2010) included 235 patients who met the following criteria: 1) single birth; 2) gestational period < or = 32 weeks; 3) appropriate for gestational age; 4) livebirths.


RESULTS
At admission to hospital we found a significant difference in mean Bishop score between those delivered vaginally (6.64 p.) and by Cesarean section (2.85 p.) and minor changes in Bishop during the time from hospitalization to decision point for CS (3.6 p.). In cases with score < or = 5 p. our results showed threefold increased incidence of abdominal delivery (53.1% vs. 17.1%).


CONCLUSIONS
Changes in Bishop score at admission to hospital in cases of irreversible preterm birth due to spontaneous uterine activity or PROM determine the method of delivery < or = 32 weeks.
Y
Y
Yankova
A
A
Nikolov
S
S
Nashar
D000328:Adult; D002584:Cervix Uteri / Q000502:physiology; D002585:Cesarean Section / Q000379:methods; D003661:Decision Support Techniques; D005260:Female; D005865:Gestational Age; D006801:Humans; D007751:Labor, Induced / Q000379:methods; D011247:Pregnancy; D011446:Prospective Studies; D014621:Vagina / Q000502:physiology; D055815:Young Adult