evidencegaps
Cochrane · systematic review · CD010762

Methods for assessing pre‐induction cervical ripening

Ezebialu, IU, Eke, AC, Eleje, GU, et al. · Cochrane Database of Systematic Reviews · 2015 · 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
7
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 14.3%Very low 0 · 0%Low 0 · 0%Moderate 6 · 85.7%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

Bishop score compared with transvaginal ultrasound for assessing pre‐induction cervical ripening

Population: women with singleton cephalic fetuses undergoing assessment for pre‐induction cervical ripening.
7 questions
OutcomeEffectEvidenceStatus / GRADE
Vaginal birth
Bishop score vs transvaginal ultrasound
RR 1.05 [0.92, 1.2]2 studies · 234 participantsModerate
Caesarean delivery
Bishop score vs transvaginal ultrasound
RR 0.82 [0.5, 1.35]2 studies · 234 participantsModerate
Neonatal admission to NICU
Bishop score vs transvaginal ultrasound
RR 1.67 [0.41, 6.83]2 studies · 234 participantsModerate
Need of misoprostol for cervical ripening
Bishop score vs transvaginal ultrasound
RR 0.53 [0.42, 0.67]2 studies · 234 participantsModerate
Meconium staining of amniotic fluid
Bishop score vs transvaginal ultrasound
RR 0.75 [0.37, 1.51]2 studies · 234 participantsModerate
Apgar score at 5 minutes less than 7
Bishop score vs transvaginal ultrasound
RR 0.62 [0.08, 4.99]2 studies · 234 participantsModerate
Fetal heart rate abnormality in labour
Bishop score vs transvaginal ultrasound
RR 1 [0.21, 4.8]1 study · 154 participantsUngraded