Taylor 1993.
Methods | Setting: Academic Hospital. Prospective randomised trial comparing vaginal prostaglandin with amniotomy and intravenous oxytocin in patients previously delivered by caesarean section. | |
Participants | Participants: 42 women. Inclusion criteria: Singleton pregnancy, cephalic presentation, gestational age more than 36 weeks. Multiparous women with one previous pregnancy delivered by caesarean section. Bishop score less than 9. All indications for induction due to pre‐eclampsia or postterm gestation. | |
Interventions | Intervention 1: Low amniotomy and immediate intravenous oxytocin titration. Intervention 2: Vaginal administration of prostaglandin E2 2.5 mg (witepsol pessary) followed by amniotomy after 3 hours and intravenous oxytocin augmentation after 6 hours if labour not established. |
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Outcomes | Included outcomes: Vaginal delivery not achieved within 24 hours; caesarean section; cervix unfavourable/unchanged after 12‐24 hours; uterine rupture; epidural analgesia; instrumental vaginal delivery; Apgar score < 7 at 5 minutes; neonatal intensive unit admission. | |
Notes | Also published by Sellers 1988. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Allocation concealment? | Low risk | A ‐ Adequate |