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

Ladfors 1996.

Methods RCT.
Participants 1012 women with PROM, GA > 34 wks, singleton, cephalic, no chorioamnionitis.
Interventions IV oxytocin, 2‐24 hrs post‐randomisation. 2.5 mU per minute increasing by 2.5 mU per minute every 30 minutes 
 vs 
 expectant management, then IV oxytocin 50‐72 hrs post‐randomisation if still not in labour.
Outcomes C/S, perinatal death, epidural analgesia, instrumental vaginal delivery, Apgar < 7 at 5 minutes, admission to NICU, chorioamnionitis, endometritis, neonatal antibiotics.
Notes Computer‐generated list of random numbers. Sealed opaque sequentially numbered envelopes.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk Computer‐generated list of random numbers.
Allocation concealment? Low risk Sealed, opaque envelopes.
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 Low risk  
Free of other bias? Unclear risk Results were difficult to interpret.