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

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
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.
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
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.