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. 2016 Dec 5;2016(12):CD006901. doi: 10.1002/14651858.CD006901.pub3

Movahed 2016.

Methods Randomised clinical trial with 3 treatment arms. Recruitment period unclear, conducted at University Hospital in Qazvin, Iran.
Participants Inclusion criteria: nulliparous women, 39 weeks gestation or over with Bishop score less than 4.
Exclusion criteria: vaginal bleeding, membrane rupture, active genital herpes infection, history of myomectomy, non‐reassuring fetal heart status, history of heart disease.
Interventions 75 women randomised into 3 groups: 25 women received ISMN, 25 received transvaginal catheter and 25 received Laminaria.
Outcomes Maternal: interval between time of induction and cervical ripening, interval between oxytocin administration and full cervical dilatation, duration of second and third labour phases, mode of delivery, maternal complications.
Neonatal: complications.
Notes Non‐English language. Laminaria not eligible as an intervention for this review. No data suitable for analysis.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Participants 'randomly divided' by choosing colourful cards.
Allocation concealment (selection bias) Unclear risk No details given.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No evidence to the contrary.
Selective reporting (reporting bias) Low risk No evidence to the contrary.
Other bias Unclear risk No evidence to the contrary.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk No mention of suitable dummies used.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk No details given.