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. 2023 Mar 30;2023(3):CD001233. doi: 10.1002/14651858.CD001233.pub4

Comparison 9. Balloon (Foley or ATAD) versus low dose oral misoprostol: all women.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
9.1 Vaginal delivery not achieved within 24 hours 2 782 Risk Ratio (M‐H, Fixed, 95% CI) 1.28 [1.13, 1.46]
9.2 Uterine hyperstimulation with FHR changes 2 2033 Risk Ratio (M‐H, Fixed, 95% CI) 0.81 [0.48, 1.38]
9.3 Caesarean section 7 3178 Risk Ratio (M‐H, Fixed, 95% CI) 1.17 [1.04, 1.32]
9.4 Serious perinatal morbidity/perinatal death 3 2627 Risk Ratio (M‐H, Fixed, 95% CI) 1.11 [0.60, 2.06]
9.5 Serious maternal morbidity or death 3 2627 Risk Ratio (M‐H, Fixed, 95% CI) 0.50 [0.05, 5.52]
9.6 Cervix unfavourable after 24 hours 4 994 Risk Ratio (M‐H, Random, 95% CI) 0.98 [0.61, 1.56]
9.7 Oxytocin augmentation 5 2847 Risk Ratio (M‐H, Random, 95% CI) 1.28 [1.09, 1.49]
9.8 Uterine hyperstimulation without FHR changes 5 2838 Risk Ratio (M‐H, Random, 95% CI) 0.50 [0.12, 2.07]
9.9 Uterine rupture 3 0 Risk Ratio (M‐H, Fixed, 95% CI) Not estimable
9.10 Epidural 3 2635 Risk Ratio (M‐H, Random, 95% CI) 1.08 [0.96, 1.22]
9.11 Instrumental vaginal delivery 3 2627 Risk Ratio (M‐H, Fixed, 95% CI) 0.71 [0.55, 0.92]
9.12 Meconium‐stained liquor 3 2627 Risk Ratio (M‐H, Random, 95% CI) 0.77 [0.44, 1.35]
9.13 Apgar score < 7 after 5 minutes 4 2693 Risk Ratio (M‐H, Fixed, 95% CI) 0.71 [0.38, 1.32]
9.14 Neonatal intensive care unit admission 5 2873 Risk Ratio (M‐H, Fixed, 95% CI) 0.82 [0.58, 1.17]
9.15 Neonatal encephalopathy 1 600 Risk Ratio (M‐H, Fixed, 95% CI) 0.81 [0.32, 2.03]
9.16 Perinatal death 3 2627 Risk Ratio (M‐H, Fixed, 95% CI) 1.28 [0.49, 3.30]
9.17 Maternal side effects (all) 2 662 Risk Ratio (M‐H, Fixed, 95% CI) 0.61 [0.33, 1.13]
9.18 Maternal vomiting 2 662 Risk Ratio (M‐H, Fixed, 95% CI) 0.73 [0.37, 1.46]
9.19 Maternal diarrhoea 1 602 Risk Ratio (M‐H, Fixed, 95% CI) 0.29 [0.06, 1.37]
9.20 Postpartum haemorrhage 5 2966 Risk Ratio (M‐H, Fixed, 95% CI) 1.03 [0.79, 1.34]
9.21 Maternal death 3 0 Risk Ratio (M‐H, Fixed, 95% CI) Not estimable
9.22 Women not satisfied 1 602 Risk Ratio (M‐H, Fixed, 95% CI) 1.70 [1.15, 2.50]
9.23 Maternal fever during labour 2 2033 Risk Ratio (M‐H, Fixed, 95% CI) 0.98 [0.78, 1.24]
9.24 Antibiotics during labour 2 2033 Risk Ratio (M‐H, Fixed, 95% CI) 1.22 [0.75, 2.00]
9.25 Endometritis 1 188 Risk Ratio (M‐H, Fixed, 95% CI) 0.56 [0.05, 6.03]
9.26 Fetal distress 5 2966 Risk Ratio (M‐H, Fixed, 95% CI) 0.82 [0.61, 1.09]
9.27 Umbilical artery pH < 7.10 2 1535 Risk Ratio (M‐H, Fixed, 95% CI) 0.77 [0.53, 1.12]