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Labor induction
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=== Predicting the necessity of induction === Clinicians assess the odds of having a [[vaginal delivery]] after labor induction by a "[[Bishop score]]". However, recent research has questioned the relationship between the Bishop score and a successful induction, finding that a poor Bishop score actually may improve the chance for a vaginal delivery after induction.<ref name="cmaj.ca">Ekaterina Mishanina et al., "Use of labour induction and risk of cesarean delivery: a systematic review and meta-analysis", April 2014, Canadian Medical Association Journal, [http://www.cmaj.ca/content/early/2014/04/28/cmaj.130925]</ref> A Bishop Score is done to assess the progression of the cervix prior to an induction. In order to do this, the cervix must be checked to see how much it has effaced, thinned out, and how far dilated it is. The score goes by a points system depending on five factors. Each factor is scored on a scale of either 0β2 or 0β3, any total score less than 5 holds a higher risk of delivering by caesarean section.<ref> Doheny, K. (2010, June 22). Labor Induction May Boost C-Section Risk. HealthDay Consumer News Service. Retrieved from EBSCOhost. </ref>
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