James 2001.
Study characteristics | ||
Methods | RCT | |
Participants | Number of women randomised: 74 Setting: Vellore, India Study date: not reported Inclusion criteria
Exclusion criteria
State of cervix: not mentioned as a criterion |
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Interventions |
Induction group (n = 37): Bishop < 5: cervical ripening with extra‐amniotically placed 16F Foley catheter with 20 mL of saline Bishop > 5: stripping of membranes Then, 12 hours later, IOL by AROM and oxytocin infusion versus EM group (n = 37): daily fetal movement counts; biophysical profile every second day |
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Outcomes |
Mother: mode of birth and indications; duration of labour; mean hospital stay Baby: meconium staining of amniotic fluid; meconium aspiration; Apgar scores < 7 (at 1 and 5 min); need for neonatal intubation; birthweight; birthweight > 4000 g; signs of post‐maturity; perinatal deaths; abnormal electronic fetal trace monitoring |
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Notes |
Funding: not 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 | A table of random numbers was used. |
Allocation concealment (selection bias) | Unclear risk | Allocation concealment was unclear since "... a series of consecutively numbered, sealed envelopes..." was used but no mention was made of opaqueness of the envelopes. |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Blinding was not feasible. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Blinded outcome assessment was not mentioned. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No loss to follow‐up or post‐randomisation exclusion |
Selective reporting (reporting bias) | Unclear risk | All of the outcomes mentioned in the methods section were reported on in the results section; mean duration of labour was reported with no measure of variance. No access to trial protocol to further assess selective reporting |
Other bias | Low risk | Appeared to be free of other bias |