{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T03:52:17Z","timestamp":1784173937389,"version":"3.55.0"},"reference-count":21,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:00:00Z","timestamp":1598918400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008389","name":"Minister of Science and Higher Education","doi-asserted-by":"crossref","award":["024\/RID\/2018\/19"],"award-info":[{"award-number":["024\/RID\/2018\/19"]}],"id":[{"id":"10.13039\/100008389","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Pregnancy"],"published-print":{"date-parts":[[2020,9,1]]},"abstract":"<jats:p>Cervical assessment on the Bishop scale prior to induction of labor (IOL) is one of the strongest prognostic criteria in relation to the success of the procedure. The commonly used preinduction methods are mainly aimed at reducing the percentage of cesarean sections. Our study has analyzed obstetric results of patients who had unripe cervix (Bishop score &lt;7) before IOL and used preinduction (Foley catheter or misoprostol vaginal insert releasing 7 mcg of misoprostol per hour for 24 hours) with obstetric results of patients in whom, due to favourable cervix, only a low-dose infusion of oxytocin was used. We reviewed the medical records of 1010 single pregnancies in whom IOL was performed. We divided the patients into two groups: group A (where preinduction was used) and group B (Bishop score \u22657 points) where preinduction was not used. Patients in group A were more likely to complete the delivery by caesarean section (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mtext>OR<\/mml:mtext><mml:mo>=<\/mml:mo><mml:mn>4.58<\/mml:mn><\/mml:math>, 95% CI 3.22-6.51), and more likely to have events that were indications for operative delivery: unreassuring fetal heart rate trace (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mtext>OR<\/mml:mtext><mml:mo>=<\/mml:mo><mml:mn>3.29<\/mml:mn><\/mml:math>, 95% CI 2.07-5.23) and arrested labor or failed induction (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mtext>OR<\/mml:mtext><mml:mo>=<\/mml:mo><mml:mn>3.4<\/mml:mn><\/mml:math>, 95% CI 2.06-5.62). The groups did not differ in the percentage of vacuum extraction, postpartum haemorrhage, and meconium stained amniotic fluid. In group B, more infants were born with umbilical cord blood pH &lt;7.1 (1.38% vs. 0%), both groups included no deliveries of newborns with Apgar score \u22643 points, the groups did not differ in terms of the percentage of newborns with Apgar score between 4 and 7 at birth (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\"><mml:mtext>OR<\/mml:mtext><mml:mo>=<\/mml:mo><mml:mn>0.66<\/mml:mn><\/mml:math>, 95% CI 0.29-1.49). The immature cervix and the need to use labor preinduction is a risk factor for caesarean section. The necessity of preinduction does not impair neonatological results.<\/jats:p>","DOI":"10.1155\/2020\/4985693","type":"journal-article","created":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T23:32:45Z","timestamp":1599003165000},"page":"1-5","source":"Crossref","is-referenced-by-count":15,"title":["Is Unfavourable Cervix prior to Labor Induction Risk for Adverse Obstetrical Outcome in Time of Universal Ripening Agents Usage? Single Center Retrospective Observational Study"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5740-9822","authenticated-orcid":true,"given":"Mlodawski","family":"Jakub","sequence":"first","affiliation":[{"name":"Collegium Medicum, Jan Kochanowski University in Kielce, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mlodawska","family":"Marta","sequence":"additional","affiliation":[{"name":"Collegium Medicum, Jan Kochanowski University in Kielce, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Galuszewska","family":"Jagoda","sequence":"additional","affiliation":[{"name":"Eskulap, Student Scientific Organization\u2013Collegium Medicum, Jan Kochanowski University in Kielce, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glijer","family":"Kamila","sequence":"additional","affiliation":[{"name":"Eskulap, Student Scientific Organization\u2013Collegium Medicum, Jan Kochanowski University in Kielce, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gluszek","family":"Stanislaw","sequence":"additional","affiliation":[{"name":"Collegium Medicum, Jan Kochanowski University in Kielce, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.5603\/GP.a2017.0043"},{"key":"2","year":"2014"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13589"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009701.pub2"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c1471"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.5603\/GP.2019.0124"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD010762.pub2"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1515\/JPM.2001.045"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-5193(88)80322-9"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.09.022"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000152338.76759.38"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1800566"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13456"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-020-05597-0"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1111\/jog.13086"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.05.007"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-03060-1"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.5114\/ms.2019.86330"},{"issue":"8","key":"19","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1055\/s-0034-1382874","volume":"74","year":"2014","journal-title":"Geburtshilfe und Frauenheilkunde"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S228738"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15102092"}],"container-title":["Journal of Pregnancy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/jp\/2020\/4985693.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/jp\/2020\/4985693.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/jp\/2020\/4985693.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T23:32:50Z","timestamp":1599003170000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/jp\/2020\/4985693\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,1]]},"references-count":21,"alternative-id":["4985693","4985693"],"URL":"https:\/\/doi.org\/10.1155\/2020\/4985693","relation":{},"ISSN":["2090-2727","2090-2735"],"issn-type":[{"value":"2090-2727","type":"print"},{"value":"2090-2735","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,1]]}}}