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Preinduction Cervical Assessment

BAACKE, KERI A. MD; EDWARDS, RODNEY K. MD

Clinical Obstetrics & Gynecology: September 2006 - Volume 49 - Issue 3 - pp 564-572
Symposium on Cervical Ripening and Labor Induction

The rate of labor induction is increasing in the United States. Methods for quantifying cervical factors have been developed to identify patients who may benefit from cervical ripening before induction. The first cervical scoring systems used digital examination. More recently, cervical ultrasound and testing for the presence of fetal fibonectin have been suggested to evaluate cervical readiness for labor induction, but neither of these methods provides a significant improvement over digital examination. The Bishop score, the most widely used digital examination scoring system, still is the most cost effective and accurate method of evaluating the cervix before labor induction.

Department of Obstetrics and Gynecology, University of Florida College of Medicine, Gainesville, Florida

Correspondence: Keri A. Baacke, MD, Department of Obstetrics and Gynecology, University of Florida College of Medicine, PO Box 100294, Gainesville, Florida 32610-0294. E-mail: edwardsr@obgyn.ufl.edu

© 2006 Lippincott Williams & Wilkins, Inc.