Comparison 39. Any mechanical method and oxytocin versus low dose misoprostol alone: all women (not pre‐specified).

Outcome or subgroup title	No. of studies	No. of participants	Statistical method	Effect size
1 Vaginal delivery not achieved in 24 hours	2	362	Risk Ratio (M‐H, Fixed, 95% CI)	0.48 [0.37, 0.63]
2 Uterine hyperstimulation with FHR changes	3	1463	Risk Ratio (M‐H, Fixed, 95% CI)	0.43 [0.17, 1.11]
3 Caesarean section	5	1779	Risk Ratio (M‐H, Fixed, 95% CI)	0.95 [0.80, 1.12]
4 Serious neonatal morbidity/perinatal death	2	1263	Risk Ratio (M‐H, Fixed, 95% CI)	0.82 [0.18, 3.65]
5 Oxytocin augmentation	2	336	Risk Ratio (M‐H, Random, 95% CI)	3.89 [0.70, 21.72]
6 Uterine hyperstimulation without FHR changes	3	498	Risk Ratio (M‐H, Fixed, 95% CI)	0.52 [0.30, 0.92]
7 Epidural analgesia	1	162	Risk Ratio (M‐H, Fixed, 95% CI)	1.07 [0.90, 1.27]
8 Meconium‐stained liquor	2	362	Risk Ratio (M‐H, Fixed, 95% CI)	0.72 [0.43, 1.19]
9 Apgar score < 7 at 5 minutes	1	162	Risk Ratio (M‐H, Fixed, 95% CI)	0.95 [0.20, 4.58]
10 Neonatal intensive care unit admission	4	1599	Risk Ratio (M‐H, Fixed, 95% CI)	0.66 [0.49, 0.90]
11 Perinatal death	2	1263	Risk Ratio (M‐H, Fixed, 95% CI)	0.82 [0.18, 3.65]
12 Women not satisfied	1	866	Risk Ratio (M‐H, Fixed, 95% CI)	1.68 [1.47, 1.93]
13 Maternal fever	2	298	Risk Ratio (M‐H, Fixed, 95% CI)	0.13 [0.04, 0.50]
14 Chorioamnionitis	1	200	Risk Ratio (M‐H, Fixed, 95% CI)	0.65 [0.32, 1.31]
15 Fetal distress	2	362	Risk Ratio (M‐H, Fixed, 95% CI)	0.55 [0.25, 1.21]