Dhall et al proposed a score for evaluating pregnant women for labor induction. It was developed from an initial group of 11 variables and was modeled after the Bishop score.
Parameters:
(1) effacement
(2) consistency of the cervix
(3) dilatation
(4) parity of the mother
|
Parameter |
Finding |
Points |
|
effacement |
0 - 30% |
0 |
|
|
40 - 60% |
1 |
|
|
> 60% |
2 |
|
consistency |
firm |
0 |
|
|
medium |
2 |
|
|
soft |
4 |
|
dilatation |
closed |
0 |
|
|
1 - 2 cm |
3 |
|
|
3 - 4 cm |
6 |
|
|
> 4 cm |
9 |
|
parity |
primi |
0 |
|
|
multi |
4 |
score of Dhall et al =
= SUM(points for the 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 19
• A score >= 7 in a multiparous woman is reported to be more sensitive and specific than a Bishop score >= 4 (induction usually successful).
Specialty: Obstetrics & Gynecology
ICD-10: ,
