Cochrane · systematic review · CD007372
Home versus inpatient induction of labour for improving birth outcomes
Alfirevic, Z, Gyte, GML, Nogueira Pileggi, V, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
21
current version
GRADE rated
14
No studies
7
Included studies
NR
No studies 7 · 33.3%Ungraded 0 · 0%Very low 14 · 66.7%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Home compared to inpatient induction with vaginal PGE for improving birth outcomes
Population: women having induction of labour at term
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Spontaneous vaginal birth№ of participants: 1022(2 RCTs) Home vs inpatient induction with vaginal PGE | RR 0.91 [0.69, 1.21] | NR | Very low Downgraded: risk of bias, imprecision, indirectness |
Uterine hyperstimulation№ of participants: 821(1 RCT) Home vs inpatient induction with vaginal PGE | RR 1.19 [0.4, 3.5] | NR | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Caesarean birth№ of participants: 1022(2 RCTs) Home vs inpatient induction with vaginal PGE | RR 1.01 [0.81, 1.28] | NR | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Neonatal infection (up to 28 days)№ of participants: 821(1 RCT) Home vs inpatient induction with vaginal PGE | RR 1.29 [0.59, 2.82] | NR | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Admission to NICU№ of participants: 1022(2 RCTs) Home vs inpatient induction with vaginal PGE | RR 1.2 [0.5, 2.9] | NR | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Serious neonatal morbidity or mortality (up to 28 days)№ of participants: (0 RCTs) Home vs inpatient induction with vaginal PGE | no estimate extracted | NR | No studies |
Women's experiences (satisfaction with care) (up to 8 weeks)№ of participants: 399(1 RCT) Home vs inpatient induction with vaginal PGE | no estimate extracted | NR | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Home compared to inpatient induction with controlled release PGE for improving birth outcomes
Population: women having induction of labour at term
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Spontaneous vaginal birth№ of participants: 299(1 RCT) Home vs inpatient induction with controlled release PGE | RR 0.94 [0.77, 1.14] | NR | Very low Downgraded: risk of bias |
Uterine hyperstimulation№ of participants: 299(1 RCT) Home vs inpatient induction with controlled release PGE | RR 1.01 [0.51, 1.98] | NR | Very low Downgraded: risk of bias |
Caesarean birth№ of participants: 299(1 RCT) Home vs inpatient induction with controlled release PGE | RR 0.95 [0.64, 1.42] | NR | Very low Downgraded: risk of bias |
Neonatal infection (up to 28 days)№ of participants: (0 RCTs) Home vs inpatient induction with controlled release PGE | no estimate extracted | NR | No studies |
Admission to NICU№ of participants: 299(1 RCT) Home vs inpatient induction with controlled release PGE | RR 1.38 [0.57, 3.34] | NR | Very low Downgraded: risk of bias |
Serious neonatal morbidity or mortality (up to 28 days)№ of participants: (0 RCTs) Home vs inpatient induction with controlled release PGE | no estimate extracted | NR | No studies |
Mothers' experiences (satisfaction with care) (up to 8 weeks) № of participants: (0 RCT) Home vs inpatient induction with controlled release PGE | no estimate extracted | NR | No studies |
Home compared to inpatient induction with balloon or Foley catheter for improving birth outcomes
Population: women having induction of labour at term
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Spontaneous vaginal birth№ of participants: 48(1 RCT) Home vs inpatient induction with balloon or Foley catheter | RR 1.04 [0.54, 1.98] | NR | Very low Downgraded: risk of bias |
Uterine hyperstimulation№ of participants: 48(1 RCT) Home vs inpatient induction with balloon or Foley catheter | RR 0.45 [0.03, 6.79] | NR | Very low Downgraded: risk of bias |
Caesarean birth№ of participants: 159(2 RCTs) Home vs inpatient induction with balloon or Foley catheter | RR 0.64 [0.41, 1.01] | NR | Very low Downgraded: risk of bias, imprecision, indirectness |
Neonatal infection (up to 28 days)№ of participants: 48(1 RCT) Home vs inpatient induction with balloon or Foley catheter | no estimate extracted | NR | No studies |
Admission to NICU№ of participants: 159(2 RCTs) Home vs inpatient induction with balloon or Foley catheter | RR 0.37 [0.07, 1.86] | NR | Very low Downgraded: risk of bias, imprecision, indirectness |
Serious neonatal morbidity or mortality (up to 28 days)№ of participants: 48(1 RCT) Home vs inpatient induction with balloon or Foley catheter | no estimate extracted | NR | No studies |
Mothers' experiences (satisfaction with care) (up to 8 weeks)№ of participants: (0 RCTs) Home vs inpatient induction with balloon or Foley catheter | no estimate extracted | NR | No studies |