Abstract
Background: Induction of labor is a common procedure in obstetrics. Women are anxious about their chances for successful vaginal delivery. Different scoring systems are available for the prediction of vaginal delivery. 
Objective: To determine the role of Bishop's score, modified Bishop's score, and Levine's score in the prediction of vaginal delivery.
Study design: This prospective cohort study was conducted at the emergency department of obstetrics and gynecology from June 2022 to February 2023. All healthy, multiparous women with full-term pregnancies were recruited according to predetermined inclusion and exclusion criteria. The cervical length, and cervical assessment to determine the Bishop score were done. The modified bishop score was calculated. Levine's score was calculated using a web-based calculator. Patients were evaluated for a) Duration of the first stage of labor, b) Duration of the second stage of labor, c) total duration of labor, and e) The mode of delivery at the end. 
Results: The Levine score correlated significantly with the duration of the first stage of labor, total duration of labor, the dose of Misoprostol, and the mode of delivery (p-value 0.007, 0.008, 0.011, and 0.043, respectively). The dose of misoprostol (50 µg) and fetal head station predicted vaginal delivery significantly (OR 0.055, 95% CI 0.007- 0.408, p-value 0.005) (OD 0.143, 95% CI 0.035- 0.588, p-value 0.007). 
Conclusion: The Levine score correlated significantly with the mode of delivery. However, no score predicted vaginal delivery significantly.