Is the Bishop Score Being Used Appropriately? Background The Bishop score is a pelvic scoring system developed to make it easier to determine whether a multiparous woman was a suitable candidate for induction of pregnancy. Although the information in the Bishop score was known by many obstetricians for many years, Edward H. bishop is credited because he pulled the pieces together and formed an organized system accompanied by research and statistics to back up his findings. His paper is called the “Pelvic Scoring for Elective Induction”. In this paper, Bishop describes basic minimal requirements that must be met before any patient can be considered for elective induction of labor (1964). The basic requirements are as follows: Multiparity, …show more content…
Multiparity refers to a woman who has labored several children. The rationale for this requirement was that labor for nulliparous women is too unpredictable even when all odds are in the mothers favor. Bishop states that induction to nulliparous women brings little advantage to the obstetrician or the patient. He goes on to say that there a few advantages to be presented that justify induction of labor during the first pregnancy. Next basic requirement to be met is the woman must be 36 weeks or more pregnant and this is because of the unreliability of expected dates of delivery. This method reduces the chances of delivering a premature infant. Bishop states that no induction should be initiated until the pregnancy is within 3 weeks of term. A term baby was defined as 37-42 weeks at the time. Next, the infant must be in the vertex position, that is, head being the …show more content…
Figure 1. was taken directly from Bishop 's research paper to show how each category is scored (Bishop 1964). Dilation, for example, is scored based on the amount of centimeters that the woman has dilated. For example, 0 cm yielding a score of 0, 1-2 cm yielding a score of 1, and so on. The score range possible from this instrument is 0 to 13 points. The higher the score, the closer the mother is to the end of pregnancy. Bishop states that his experience has convinced him that the safest induction is achieved when the pelvic score totals 9 or more. He goes on to describe that there have been no failures in induction and the average duration of labor is less than 4 hours when induction is performed on a woman with a pelvic score of 9 or
Throughout childhood and adolescence, Hansen was described as being quiet and a loner, and had a dysfunctional relationship with his domineering father. He was frequently bullied at school for having acne and speaking with a stutter. He started hunting and often found refuge in this.
When pregnant, many expecting mothers are faced with a very tough decision, the decision to have an epidural during labor or to have a natural birth. Both methods have negative and positive aspects. This topic has such conflicting views that about 50% of women decide to get an epidural when going into labor and the other 50% of women choose the alternative: natural childbirth. It is important for an expecting mother to look into both options thoroughly to ensure they make the best choice for both themselves and for their child. With all of the speculations circulating about both options, it is hard for mothers to see the truth about both epidurals and natural childbirth.
Cord clamping takes place after birth, during the third stage of pregnancy. Once the infant is born , the umbilical cord, which is still supplying nutrient rich blood to the fetus from the mother, must be clamped and cut. This is followed by the delivery of the placenta, which completes the third stage of pregnancy, and thus the cycle is complete. Time is something that can be argued by health professionals all around . Neither physicians nor midwives can scientifically say what is the optimal time for cord clamping because each pregnancy and thus each birth is different and unique . Universal protocol does not necessarily apply during the birthing process. However, majority is something that can be considered and is what this study will look at. Taking a look at the comparisons of delayed cord clamping and the historically accepted practice of quick c...
Reflection Paper 1 Timothy Jenkins CEP 215 New Mexico State University Upon viewing “More Business of Being Born” (Epstein, 2011), I learned a lot about the different pros and cons of Vaginal Birth After Cesarean (VBAC). Women are often deprived of the choice of the method of delivery of their children after they’ve previously had a cesarean birth. The cause of this is that there exists medical fright about a rupture of the uterus which often leads to the death of mother and baby (Epstein, 2011). In the mid twentieth century, it became common saying that “once a cesarean, always a cesarean” came about. This saying perpetrated the fear and understanding that women have to go about having another cesarean, depriving them of choice (Epstein, 2011).
"7 Tips For Having A Natural Childbirth." Fit Pregnancy. N.p., n.d. Web. 25 Nov. 2013. .
For head coach Matt Rhule and the Temple Owls, the 2015 season was a fun and magical ride. The Owls finished the season 10-4, won the AAC East division and went to their fifth bowl game (The Boca Raton Bowl) in school history.
... Clinical Evidence." Archives of Gynecology & Obstetrics 287.6 (2013): 1137-1149. Academic Search Premier. Web. 5 Oct. 2013.
...o find a balance between interventional and non-interventional birth. With this being said, I also understand that there are strict policies and protocols set in place, which I must abide to as a healthcare provider, in any birth setting. Unfortunately, these guidelines can be abused. Christiane Northrup, MD, a well recognized and respected obstetrician-gynecologist has gone as far as to tell her own daughters that they should not give birth in a hospital setting, with the safest place being home (Block, 2007, p. xxiii). Although I am not entirely against hospital births, I am a firm believe that normal, healthy pregnancies should be fully permissible to all midwives. However, high-risk pregnancies and births must remain the responsibility of skilled obstetricians. My heart’s desire is to do what is ultimately in the best interest of the mother, and her unborn child.
In this time having a cesarean was very dangerous for the mother and the baby. In some cases, a cesarean would lead to
Postpartum hemorrhage is the leading cause of maternal mortality in the world, according to the World Health Organization. Postpartum hemorrhage (PPH) is generally defined as a blood loss of more than 500 mL after a vaginal birth, more than 1000 mL after a cesarean section, and a ten percent decrease in hematocrit levels from pre to post birth measurements (Ward & Hisley, 2011). An early hemorrhage occurs within 24 hours of birth, with the greatest risk in the first four hours. A late hemorrhage happens after 24 hours of birth but less than six weeks after birth. Uterine atony—failure for the uterine myometrium to contract—is the most common postpartum hemorrhage (Venes, Ed.).(2013). Other etiologies include lower genital tract lacerations, uterine inversion, retained products of conception and bleeding disorders (Kawamura, Kondoh, Hamanishi, Kawasaki, & Fujita, (2014).
This paper will examine three of the areas associated with planning a newborn child, including single parenting, concerns and expectations parents have when planning for and having a child, and financial issues that mothers face when planning a pregnancy. (Specify if you are talking about single moms or parents/couples, if talking about all of them you might want to consider narrowing your research.)
Between five to ten percent of all infants are born more than two weeks before their due date due to several factors that include infections, illness, poor nutrition, or complications during the pregnancy. Fetal monitors are used in the cases of C-sections because there is a much higher risk of detecting the infant’s distress and therefore can go in more quickly to remove the baby from the uterus. When the mother is under general anesthesia, which is rare in the United States, the mother is not aware of any kind of pain or even the birth of her child. When the mother has spinal anesthesia she has no feeling from the waist down. Sometimes, the best indication that the baby is in distress is the mother- an unfamiliar pain occurs or something else could be a sign of problems.
Worldwide, the rate of cesarean section is increasing. According to the CDC, in 2012 the rate of cesarean sections comprised 32.8% of all births in the United States (CDC, 2013). Between 1996-2009 the cesarean section rate has risen 60% in the U.S (CDC, 2013). According to the World Health Organization (WHO), more than 50% of the 137 countries studies had cesarean section rates higher than 15% (WHO, 2010). The current goal of U.S. 2020 Healthy People is to reduce the rate of cesarean section to a target of 23.9%, which is almost 10% lower than the current rate (Healthy People 2020, 2013). According to a study conducted by Gonzales, Tapia, Fort, and Betran (2013), the appropriate percentage of performed cesarean sections is unclear, and is dependent on the circumstances of each individual birth (p. 643). Though often a life-saving procedure when necessary, the risks and complications associated with cesarean delivery are a cause for alarm due to the documented rate increase of this procedure across the globe. Many studies have revealed that cesarean deliveries increase the incidence of maternal hemorrhage and mortality and neonatal respiratory distress when compared to vaginal deliveries. As a result, current research suggests that efforts to reduce the rate of non-medically indicated cesarean sections should be made, and that comprehensive patient education should be provided when considering an elective cesarean delivery over a planned vaginal delivery.
...as than others. The oldest source was the textbook Infants and Children. The other three sources were from the Internet written in 1996. Doctors wrote two of the articles and the other one was from the health information for Lenox Hill Hospital. I believe that overtime birthing methods have changed and have alternative ways to proceed, however, the cesarean delivery is pretty much the same procedure and cannot really be changed in any way, which means that the information given will be basically the same.
Throughout the world, giving birth appears to be greatly identical parallel to any other places. Different countries believe their approach to be the best and only method to see a child to a natural delivery. Nevertheless, one can choose from many deviations to the birthing process that may best fit their ideal delivery of the child. Choices will subject to culture diversity, economy, beliefs, and technology developments. In this world today we find that all if not most birthing methods have their advantages and disadvantages. The motivations behind delivery choices will be discussed in further in details