Browne 2011.
Methods | RCT | |
Participants | Inclusion criteria: single, live fetus, cephalic, presentation,reassuring fetal health assessment, GA between 26 and 42 weeks, Maternal age 18 and above, BS less than 5 Exclusion criteria: multiple gestation (twins, triplets, quadruplets), fetal demise Fetal malpresentation, EFW less than 500 g or more than 4000 g, placenta previa, non‐reassuring fetal health assessment Maternal asthma, Latex allergy, spontaneous labour, other contraindication to vaginal delivery |
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Interventions | Balloon: (n = 34): 40 mL, under traction, max 6 hours. PGE2 vaginal (36): prepidil gel in fornix posterior, no oxytocin in 6 hours after gel is applied balloon and PGE2 (31): 40 mL, under traction. prepidil gel inserted through catheter. |
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Outcomes | CS | |
Notes | Grey literature: not published. primary outcomes reported in trial registration Setting: USA Study period: July 2010 ‐ February 2013 Funding: not reported Declarations of interest: not reported |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomisation envelopes prepared by statisticians at the University of South Carolina Arnold School of Public Health. The investigator was given the next sequentially‐numbered study envelope by the patient's nurse. |
Allocation concealment (selection bias) | Low risk | Sealed 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 | High risk | ITT not reported. case missing for relevant outcome (CS) |
Selective reporting (reporting bias) | High risk | Only primary outcome en adverse events reported |
Other bias | Unclear risk | Study not published, not clear why. |