Methods |
Study design: Parallel study.
Patients in induction group randomized into two groups with stratification to ensure similar numbers of nulliparous and parous women in each group.
Patient fall out did occur due to wrong intervention/lost data. |
Participants |
Participants: 93 (84 patients' data relevant to review).
Inclusion criteria: Singleton pregnancies; cephalic presentations; gestation >36 weeks; live fetus; Bishop score >4.
Exclusion criteria: Previous caesarean section; parity 4 or more. |
Interventions |
Intervention 1: Intravenous oxytocin + amniotomy (dose 2 mU/min rate adjustment according to attendants discretion; max dose 32 mU/min)
Intervention 2: PGE2 gel (Prostin gel‐ Upjohn) 1 mg intravaginal; repeated after 4 hours if not established labour (max 3 applications). |
Outcomes |
Included outcomes: Caesarean section; neonatal/perinatal death; instrumental vaginal delivery; Apgar score <7 at 5 minutes. |
Notes |
Main outcome of study: intra uterine pressure differences between spontaneous and induced labours. Regarding the main outcome fall out did occur but analysis of induction method valid. |
Risk of bias |
Bias |
Authors' judgement |
Support for judgement |
Allocation concealment? |
Low risk |
A ‐ Adequate |