Bishop Score
Assesses cervical readiness for labor induction to predict likelihood of successful vaginal delivery
- Highest activation tier
- Mandatory
- How it is scored
- Scored in code; a detected disagreeing draft value is flagged for correction
- Scoring type
- point sum
- Care settings
- Inpatient
When it activates
Scribeable activates a calculator from the encounter. The Bishop Score can activate when the transcript or pasted chart context documents any of these:
- Labor induction planning
- Cervical ripening assessment
- Induction candidacy evaluation
- Post-dates pregnancy management
- Pre-eclampsia delivery planning
Note-type scope: it activates on notes whose subject resolves to obgyn. A note that resolves to another subject does not carry it even when the clinician's specialty matches; a note with no resolvable subject (a generic consultation) falls back to the specialty match.
Inputs the note needs
5 inputs. Each is resolved from the transcript, the pasted chart context and charted labs; an input marked "asks you" is requested as a clarification when it is undocumented.
| Input | Type | Unit / options | Guidance |
|---|---|---|---|
| Cervical dilation in cm: 0=closed, 1=1-2cm, 2=3-4cm, 3=>=5cm | exam | ||
| Cervical effacement: 0=0-30%, 1=40-50%, 2=60-70%, 3=>=80% | exam | ||
| Fetal station: 0=-3, 1=-2, 2=-1/0, 3=+1/+2 | exam | ||
| Cervical consistency: 0=firm, 1=medium, 2=soft | exam | ||
| Cervical position: 0=posterior, 1=mid, 2=anterior | exam |
Scoring
5 components: Dilation (0-3), Effacement (0-3), Station (0-3), Consistency (0-2), Position (0-2). Maximum score 13.
Dilation Cervical dilation in cm: 0=closed, 1=1-2cm, 2=3-4cm, 3=>=5cm + Effacement Cervical effacement: 0=0-30%, 1=40-50%, 2=60-70%, 3=>=80% + Station Fetal station: 0=-3, 1=-2, 2=-1/0, 3=+1/+2 + Consistency Cervical consistency: 0=firm, 1=medium, 2=soft + Position Cervical position: 0=posterior, 1=mid, 2=anterior
Interpretation
>=8: Favorable cervix — high likelihood of successful induction, comparable to spontaneous labor onset. 6-7: Intermediate — consider cervical ripening vs direct induction based on clinical context. <=5: Unfavorable cervix — cervical ripening recommended (prostaglandins, mechanical dilation) before oxytocin. Nulliparous patients generally need higher scores for successful induction.
Evidence
Sources carried in Scribeable's citation registry for this calculator; guideline version: Bishop 1964.
- Bishop EH. Pelvic scoring for elective inductionBishop (Cervical Score) 1964 · 1964 · link last verified 2026-03-28
How Scribeable handles it in the note
When an encounter activates the Bishop Score at the mandatory tier, Scribeable resolves its inputs from the transcript, the pasted chart context and any charted labs, and asks you for a missing input you can supply before the note is finalised. Bedside-exam and separately ordered study values are not requested one input at a time; a calculator that carries a combined clarification question may still put that single question to you.
The score is computed in code from the resolved inputs, not recalled by the language model. If the draft states a Bishop Score value that disagrees with the computed one, the disagreement is flagged to the second drafting pass, which is instructed to correct the score and its interpretation before you see the note.
Classified as a risk score: activated strictly, by a documented trigger, never by a permissive reading of the encounter.
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