Amorosa 2017.
Methods | RCT | |
Participants | Inclusion: PROM, age ≥ 18 years, viable fetus, cephalic, singleton, GA > 34 weeks, < 3 cm dilation Exclusion: multifetal gestation, a known anomalous fetus, malpresentation, latex allergy, unexplained vaginal bleeding or contraindication to vaginal delivery (such as a placenta previa), antibiotics, previous uterine surgery, spontaneous labour |
|
Interventions | Foley catheter (n = 61) 16F, 30 mL balloon filled with 60 mL saline, traction applied (no max time described), oxytocin started after 1 hour Oxytocin alone directly (n = 68) Oxytocin in both groups, started 2 mU/minute, max 30 mU/minute |
|
Outcomes | The primary outcome measure was time from start of induction to delivery. Secondary outcomes included mode of delivery, tachysystole, chorioamnionitis, postpartum haemorrhage, neonatal AS, and admission to the NICU. | |
Notes | Setting: Mount Sinai Hospital, New York, USA Study period: August 2014 to September 2016 Funding: not reported Declaration of interest: none declared |
|
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Computer‐generated numbers |
Allocation concealment (selection bias) | Low risk | Sequential numbered sealed, opaque envelopes |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Not feasible due to nature of intervention |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not reported |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Modified ITT, (1 woman excluded who afterwards did not met the inclusion criteria), no missing data or cases |
Selective reporting (reporting bias) | Low risk | All pre‐specified outcome measures were reported in results |
Other bias | Low risk | No other bias detected |