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. 2001 Jul 23;2001(3):CD003250. doi: 10.1002/14651858.CD003250

Parazzini 1998.

Methods Multicenter study, parallel with cross over. 
 Central telephonic randomization into two arms.
Participants Participants: 320. 
 Multigravid and primigravid patients. 
 Inclusion criteria: Singleton pregnancies; cephalic presentations; intact membranes; gestation >36 weeks (>40 weeks); Bishop score >4 (5‐7); parity 0‐3; less than six uterine contractions/hour.
Exclusion criteria: Previous caesarean section; diabetes; hypertension/PET; ruptured membranes.
Interventions Intervention 1: Intravenous oxytocin followed in 1 hour by amniotomy (dose 1 mU/m min; rate doubled every 30 min to max 32 mU/min. 
 Intervention 2: Vaginal PGE2 (Prepidil gel, Upjohn 2mg ); two doses at six hourly intervals.
Crossover did occur after 12 hours if patients were not in established labour.
Outcomes Included outcomes: Caesarean section. 
 Uterine hyperstimulation; instrumental vaginal delivery; neonatal intensive care admission; nausea; fever.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate