Skip to main content
. 2018 May 9;2018(5):CD004945. doi: 10.1002/14651858.CD004945.pub4

Comparison 3. Labour induction versus expectant management (status of cervix).

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Perinatal death 20 9960 Risk Ratio (M‐H, Fixed, 95% CI) 0.33 [0.14, 0.78]
1.1 Favourable cervix 3 771 Risk Ratio (M‐H, Fixed, 95% CI) 0.30 [0.01, 7.27]
1.2 Unfavourable cervix 7 4938 Risk Ratio (M‐H, Fixed, 95% CI) 0.29 [0.07, 1.17]
1.3 Unknown/mixed state of cervix 10 4251 Risk Ratio (M‐H, Fixed, 95% CI) 0.37 [0.12, 1.15]
2 Stillbirth 20 9960 Risk Ratio (M‐H, Fixed, 95% CI) 0.33 [0.11, 0.96]
2.1 Favourable cervix 3 771 Risk Ratio (M‐H, Fixed, 95% CI) 0.30 [0.01, 7.27]
2.2 Unfavourable cervix 7 4938 Risk Ratio (M‐H, Fixed, 95% CI) 0.27 [0.05, 1.66]
2.3 Unknown/mixed state of cervix 10 4251 Risk Ratio (M‐H, Fixed, 95% CI) 0.39 [0.09, 1.68]
3 Admission to neonatal intensive care unit 13 8531 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.77, 1.01]
3.1 Favourable cervix 2 475 Risk Ratio (M‐H, Fixed, 95% CI) 3.02 [0.12, 73.52]
3.2 Unfavourable cervix 5 4380 Risk Ratio (M‐H, Fixed, 95% CI) 0.90 [0.77, 1.05]
3.3 Unknown/mixed state of cervix 6 3676 Risk Ratio (M‐H, Fixed, 95% CI) 0.81 [0.59, 1.12]
4 Caesarean section 27 11738 Risk Ratio (M‐H, Fixed, 95% CI) 0.92 [0.85, 0.99]
4.1 Favourable cervix 4 917 Risk Ratio (M‐H, Fixed, 95% CI) 1.11 [0.76, 1.64]
4.2 Unfavourable cervix 9 5212 Risk Ratio (M‐H, Fixed, 95% CI) 0.90 [0.82, 1.00]
4.3 Unknown/mixed state of cervix 14 5609 Risk Ratio (M‐H, Fixed, 95% CI) 0.92 [0.81, 1.04]
5 Operative vaginal birth (forceps or ventouse) 18 9281 Risk Ratio (M‐H, Fixed, 95% CI) 1.07 [0.99, 1.16]
5.1 Favourable cervix 3 655 Risk Ratio (M‐H, Fixed, 95% CI) 0.87 [0.42, 1.82]
5.2 Unfavourable cervix 4 3650 Risk Ratio (M‐H, Fixed, 95% CI) 1.06 [0.95, 1.18]
5.3 Unknown/mixed state of cervix 11 4976 Risk Ratio (M‐H, Fixed, 95% CI) 1.09 [0.97, 1.24]
6 Perineal trauma 4 3028 Risk Ratio (M‐H, Fixed, 95% CI) 1.09 [0.65, 1.83]
6.1 Unknown/mixed state of cervix 4 3028 Risk Ratio (M‐H, Fixed, 95% CI) 1.09 [0.65, 1.83]