Risk of Cesarean Delivery and Low Bishop Score after Induction of Labor in Nulliparous Women in Tikrit Ciry

This prospective study was s carried out in Tikrit city in the period of 1st February to 1st of July 2019 on pregnant women admitted to the labor ward of Salahaddin general hospital to assess the risk factors of cesarean delivery associated with induction of labor in nulliparous women in relation to bishop score in unfavorable cervix. The study included 100 nulliparous pregnant women with singleton fetus in cephalic presentation who admitted for induction of labor for different indications. A total number of 100 pregnant women in whom spontaneous onset of labor was diagnosed at admission were assigned to the spontaneous onset group, which served as the control group. The cesarean delivery rate for women who were induced with an unfavorable cervix (Bishop score ≤ 4) was 27.14%; the rate for women who were induced with a favorable cervix was 10% (Figure 2). The induction of labor for women with an unfavorable cervix was associated with a significantly increased risk of cesarean delivery (P < 0.002). The study showed that Bishop score ≤ 4 was significant risk factor for C/S in addition to maternal age, gestational age and birth weight.