Oral mifepristone compared with Foley catheter for term labour induction for women with a previous caesarean section |
Patient or population: pregnant women, 40 weeks' gestation, single cephalic presentation, 1 previous low segment caesarean section
Setting: India, 2012‐2014
Intervention: oral mifepristone (400 mg) orally at 40 + 5. All women were reassessed 24 hours and 48 hours later. If BS > 6, amniotomy was performed, followed by oxytocin infusion. If after 48 hours, BS was < 6, induction of labour was done with oxytocin infusion
Comparison: Foley catheter with 30 mL normal saline inserted at 40 + 5 |
Outcomes |
Anticipated absolute effects* (95% CI) |
Relative effect
(95% CI) |
№ of participants
(studies) |
Quality of the evidence
(GRADE) |
Comments |
Risk with mifepristone |
Risk with Foley catheter |
Vaginal delivery not achieved within 24 hours |
|
|
|
|
|
not reported |
Uterine hyperstimulation with fetal heart rate changes |
|
|
|
|
|
not reported |
Caesarean section |
|
|
|
|
|
not reported |
Serious neonatal morbidity or perinatal death |
|
|
|
|
|
not reported |
Serious maternal morbidity or death |
|
|
|
|
|
not reported |
*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
BS: Bishop score; CI: Confidence interval; RR: Risk ratio |
GRADE Working Group grades of evidence
High quality: we are very confident that the true effect lies close to that of the estimate of the effect
Moderate quality: we are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
Low quality: our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect
Very low quality: we have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect |