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. 2001 Apr 23;2001(2):CD003098. doi: 10.1002/14651858.CD003098

Secher 1981.

Methods Allocation: "random", not further described. 
 Blinding: none described. 
 Study period: not stated.
Participants Inclusion criteria: women admitted for induction of labor with membranes intact, single live fetus in cephalic position. 
 Setting: University hospital, Odense, Denmark. 
 Number of participants: n = 471.
Interventions Women with ripe cervix and head engaged (n = 227) underwent amniotomy and observation for 4 hours. 124 were in labor. The remainder (n = 103) received oral PGE2 0.5 mg increasing to 1.5 mg per hour if needed (n = 57) vs IV oxytocin to a maximum infusion rate of 45 miliunits per minute (n = 46).
Those with unfavorable cervix: oral prostaglandin as above (n = 125) vs IV oxytocin as above (n = 119).
Outcomes Length of labor. 
 Treatment time. 
 Apgar score. 
 Mode of delivery. 
 Gastrointestinal side‐effects.
Notes IV oxytocin was given at a rapidly increasing rate, starting at 7.5 miliunits and increasing by 7.5 miliunits every 15 minutes.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk B ‐ Unclear