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. 2019 Oct 18;2019(10):CD001233. doi: 10.1002/14651858.CD001233.pub3

Comparison 34. Any mechanical method and low dose misoprostol versus prostaglandin E2 alone: all women.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Vaginal delivery not achieved in 24 hours 1 350 Risk Ratio (M‐H, Fixed, 95% CI) 1.14 [0.89, 1.46]
2 Uterine hyperstimulation with FHR changes 1 327 Risk Ratio (M‐H, Fixed, 95% CI) 0.75 [0.27, 2.13]
3 Caesarean section 1 350 Risk Ratio (M‐H, Fixed, 95% CI) 0.85 [0.57, 1.25]
4 Serious neonatal morbidity/perinatal death 1 345 Risk Ratio (M‐H, Fixed, 95% CI) 2.04 [0.19, 22.24]
5 Serious maternal morbidity or death 1 350 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6 Oxytocin augmentation 1 350 Risk Ratio (M‐H, Fixed, 95% CI) 0.54 [0.34, 0.86]
7 Uterine hyperstimulation without fetal heart rate changes 1 327 Risk Ratio (M‐H, Fixed, 95% CI) 0.54 [0.22, 1.32]
8 Uterine rupture 1 350 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
9 Instrumental vaginal delivery 1 350 Risk Ratio (M‐H, Fixed, 95% CI) 1.01 [0.26, 3.98]
10 Meconium‐stained liquor 1 339 Risk Ratio (M‐H, Fixed, 95% CI) 1.15 [0.60, 2.23]
11 Apgar score < 7 at 5 minutes 1 346 Risk Ratio (M‐H, Fixed, 95% CI) 0.68 [0.25, 1.88]
12 Neonatal intensive care unit admission 1 346 Risk Ratio (M‐H, Fixed, 95% CI) 0.68 [0.12, 4.03]
13 Perinatal death 1 345 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.06, 16.14]
14 Maternal side effects 1 314 Risk Ratio (M‐H, Fixed, 95% CI) 1.16 [0.95, 1.43]
15 Maternal nausea 1 300 Risk Ratio (M‐H, Fixed, 95% CI) 1.65 [0.98, 2.79]
16 Maternal diarrhoea 1 313 Risk Ratio (M‐H, Fixed, 95% CI) 3.72 [1.53, 9.00]
17 Postpartum haemorrhage 1 348 Risk Ratio (M‐H, Fixed, 95% CI) 0.98 [0.67, 1.41]
18 Serious maternal complications 1 350 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
19 Maternal fever during labour 1 347 Risk Ratio (M‐H, Fixed, 95% CI) 1.53 [0.26, 9.02]