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

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
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
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
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