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

Ekman 1986.

Methods RCT.
Participants 38 women with term pregnancy, Bishop score 4 or 5.
Interventions IV oxytocin 
 vs 
 vaginal PGE2 3 mg x 1.
Outcomes Vaginal delivery not achieved in 24 hrs, C/S, cervix unfavourable/unchanged after 12‐24 hrs, instrumental vaginal delivery, Apgar score < 7 at 5 minutes, maternal vomiting, maternal diarrhea.
Notes No mention of randomisation technique or allocation concealment.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk No information provided.
Allocation concealment? Unclear risk Described as "randomly treated".
Blinding? 
 Women High risk Not feasible. Different treatment regimes.
Blinding? 
 clinical staff High risk  
Blinding? 
 outcome assessor High risk  
Incomplete outcome data addressed? 
 All outcomes Unclear risk Low attrition (5%) but the 2 women lost to follow up were not included in analysis as they did not complete the treatment protocol.
Free of selective reporting? Low risk  
Free of other bias? Low risk