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Induction of labour
Method depends on the Bishop score.
Source: NICE NG207 (2026) Calculator
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Bishop
| ≤6 (unfavourable) | Dinoprostone, oral misoprostol 25 mcg, or balloon catheter. |
|---|---|
| >6 (favourable) | Amniotomy + IV oxytocin. |
Points
- Prostaglandins contraindicated with a uterine scar — use balloon / ARM
- Hyperstimulation = ≥5 contractions in 10 min for ≥20 min: stop/remove agent, consider tocolysis
- CTG before and after each prostaglandin dose
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.