Lokkegaard 2015.
Study characteristics | ||
Methods | RCT | |
Participants | Inclusion criteria: intact membranes, cephalic position, BS ≤ 6, indication of IOL. Exclusion criteria: ruptured membranes, spontaneous labour, placenta praevia, acute fetal distress, asthma, glaucoma, latex allergy, infections (acute herpes, GBS, condylomata), previous CS |
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Interventions | 1. Double balloon catheter (n = 412); 80 mL, max 12 hours, thereafter either AROM or start of oxytocin. 2. PGE2 3 mg tablet (n = 413), 2 dose a day (4‐5 hourly), max 2 days |
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Outcomes | Failed inductions, time interval from induction to delivery, mode of delivery, neonatal outcome as assessed by the AS after 5 minutes and referral to a neonatal care unit, subgroups by parity and indication for induction. Post hoc analyses included the percentage of women who gave birth within 24 hours and the need for additional oxytocin stimulation | |
Notes | Setting: multicentre, Denmark Study period: September 2002 to December 2005 Funding: the randomisation procedure was funded by ‘ Snedkermester Sophus Jacobsen & Astrid Jacobsens fond and the Danish Toyota Foundation. Declarations of interest: none declared |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Computer‐generated and was stratified for parity and department. |
Allocation concealment (selection bias) | Low risk | Central allocation by telephone |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Not feasible due to nature of intervention |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not reported |
Incomplete outcome data (attrition bias) All outcomes | Low risk | ITT, missing data reported, but evenly distributed. |
Selective reporting (reporting bias) | Low risk | All pre‐specified outcome measures were reported |
Other bias | Low risk | No other bias detected |