A Bishop Score ≥ 8 is considered favorable for induction, with a high likelihood of successful vaginal delivery. Scores 6–7 are intermediate. Scores ≤ 5 are unfavorable and may require cervical ripening agents (prostaglandins or mechanical methods) before oxytocin induction.

Dilation: how open the cervix is. Effacement: how thin the cervix has become. Station: how far the baby's head has descended. Consistency: firmness of the cervix. Position: whether the cervix faces forward (anterior) or backward (posterior).

Common indications include: post-term pregnancy (≥41 weeks), preeclampsia, gestational diabetes, premature rupture of membranes, chorioamnionitis, and oligohydramnios. Elective induction at 39+ weeks may also be offered. The Bishop Score helps predict success.

A low score (≤5) suggests the cervix is not ready for induction. Options include: cervical ripening with prostaglandins (misoprostol, dinoprostone), mechanical dilation (Foley balloon), waiting for spontaneous labor, or reassessing in a few days.