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. 2009 Oct 7;2009(4):CD003246. doi: 10.1002/14651858.CD003246.pub2

Comparison 13. Oxytocin alone vs vaginal PGE2: all women, ruptured membranes.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Vaginal delivery not achieved in 24 hours 1 20 Risk Ratio (M‐H, Fixed, 95% CI) 2.25 [1.02, 4.94]
2 Uterine hyperstimulation with FHR changes 6 738 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
3 Caesarean section 14 3635 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.85, 1.23]
4 Serious neonatal morbidity/perinatal death excluding major congenital malformations 2 2557 Risk Ratio (M‐H, Fixed, 95% CI) 3.00 [0.31, 28.82]
5 Serious maternal morbidity or death 1 40 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6 Cervix unfavourable or unchanged after 12/24 hours 1 90 Risk Ratio (M‐H, Fixed, 95% CI) 0.82 [0.30, 2.25]
8 Uterine hyperstimulation without FHR changes 5 2879 Risk Ratio (M‐H, Fixed, 95% CI) 0.64 [0.24, 1.70]
9 Uterine rupture 1 2517 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
10 Epidural analgesia 6 2949 Risk Ratio (M‐H, Fixed, 95% CI) 1.09 [1.01, 1.17]
11 Instrumental vaginal delivery 9 3160 Risk Ratio (M‐H, Fixed, 95% CI) 1.04 [0.90, 1.21]
12 Meconium‐stained liquor 3 2801 Risk Ratio (M‐H, Fixed, 95% CI) 0.84 [0.65, 1.08]
13 Apgar score < 7 at 5 minutes 10 3367 Risk Ratio (M‐H, Fixed, 95% CI) 0.62 [0.35, 1.11]
14 Neonatal intensive care unit admission 5 2845 Risk Ratio (M‐H, Fixed, 95% CI) 0.85 [0.70, 1.04]
16 Perinatal death, excluding major congenital malformations 2 2555 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
19 Maternal nausea 3 162 Risk Ratio (M‐H, Fixed, 95% CI) 0.29 [0.03, 2.60]
20 Maternal vomiting 3 2584 Risk Ratio (M‐H, Fixed, 95% CI) 0.85 [0.27, 2.61]
21 Maternal diarrhoea 1 2517 Risk Ratio (M‐H, Fixed, 95% CI) 0.20 [0.01, 4.16]
23 Postpartum haemorrhage 2 2607 Risk Ratio (M‐H, Fixed, 95% CI) 0.96 [0.68, 1.36]
26 Women not satisfied 1 2517 Risk Ratio (M‐H, Fixed, 95% CI) 1.16 [0.84, 1.60]
28 Chorioamnionitis 4 2742 Risk Ratio (M‐H, Fixed, 95% CI) 0.66 [0.47, 0.92]
29 Endometritis 5 2762 Risk Ratio (M‐H, Fixed, 95% CI) 0.84 [0.54, 1.32]
30 Maternal antibiotics 2 2567 Risk Ratio (M‐H, Fixed, 95% CI) 0.83 [0.64, 1.08]
31 Neonatal infection 7 2948 Risk Ratio (M‐H, Fixed, 95% CI) 0.68 [0.42, 1.09]
32 Neonatal antibiotics 2 2564 Risk Ratio (M‐H, Fixed, 95% CI) 0.68 [0.53, 0.87]
33 Neonatal jaundice 1 36 Risk Ratio (M‐H, Fixed, 95% CI) 0.71 [0.11, 4.52]
35 Apgar score < 7 at 1 minute 2 2550 Risk Ratio (M‐H, Fixed, 95% CI) 1.05 [0.86, 1.28]