Cromi 2011.
Methods | RCT | |
Participants | Inclusion: singleton gestation, vertex presentation, BS ≤ 6, intact membranes, GA ≥ 34 weeks, reassuring FHR tracing Exclusion: Women with antepartum bleeding, intrauterine fetal death, previous uterine scars, known allergy to latex, placenta previa, contraindication to vaginal delivery |
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Interventions | 24‐hour Foley (n = 133): 18F, 50cc, 24 hours 12‐hour Foley (n = 132): 18F, 50cc, 12 hours PGE2 vaginal insert 10 mg (n = 132): vaginal fornix, 24 hours |
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Outcomes | vaginal delivery within 24 hours, improvement in BS after ripening, caesarean delivery, ripening‐to‐delivery interval, oxytocin administration, epidural request, neonatal outcomes. | |
Notes | Setting:Obstetrics Department of University of Insubria, Varese, Italy. Study period: July 2008 to June 2010 Funding: none 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 | Computer‐generated block randomisation |
Allocation concealment (selection bias) | Unclear risk | Allocation not reported |
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 | ITT, no missing data or cases. |
Selective reporting (reporting bias) | Low risk | All pre‐specified outcomes were reported in results |
Other bias | Low risk | No other bias detected |