Intervention Review

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Outpatient versus inpatient induction of labour for improving birth outcomes

  1. Anthony J Kelly1,*,
  2. Zarko Alfirevic2,
  3. Arpita Ghosh1

Editorial Group: Cochrane Pregnancy and Childbirth Group

Published Online: 12 NOV 2013

Assessed as up-to-date: 14 AUG 2013

DOI: 10.1002/14651858.CD007372.pub3


How to Cite

Kelly AJ, Alfirevic Z, Ghosh A. Outpatient versus inpatient induction of labour for improving birth outcomes. Cochrane Database of Systematic Reviews 2013, Issue 11. Art. No.: CD007372. DOI: 10.1002/14651858.CD007372.pub3.

Author Information

  1. 1

    Brighton and Sussex University Hospitals NHS Trust, Department of Obstetrics and Gynaecology, Brighton, UK

  2. 2

    The University of Liverpool, Department of Women's and Children's Health, Liverpool, UK

*Anthony J Kelly, Department of Obstetrics and Gynaecology, Brighton and Sussex University Hospitals NHS Trust, Royal Sussex County Hospital, Eastern Road, Brighton, BN2 5BE, UK. tony.kelly@bsuh.nhs.uk.

Publication History

  1. Publication Status: New search for studies and content updated (conclusions changed)
  2. Published Online: 12 NOV 2013

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[Figure 1]
Figure 1. 'Risk of bias' graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.
[Figure 2]
Figure 2. 'Risk of bias' summary: review authors' judgements about each risk of bias item for each included study.
[Analysis 1.1]
Analysis 1.1. Comparison 1 Outpatient versus inpatient induction with vaginal PGE2, Outcome 1 Additional induction agent required (oxytocin).
[Analysis 1.2]
Analysis 1.2. Comparison 1 Outpatient versus inpatient induction with vaginal PGE2, Outcome 2 Total length of hospital stay.
[Analysis 1.3]
Analysis 1.3. Comparison 1 Outpatient versus inpatient induction with vaginal PGE2, Outcome 3 Length of stay: admission to delivery.
[Analysis 1.4]
Analysis 1.4. Comparison 1 Outpatient versus inpatient induction with vaginal PGE2, Outcome 4 Postnatal hospital stay.
[Analysis 1.5]
Analysis 1.5. Comparison 1 Outpatient versus inpatient induction with vaginal PGE2, Outcome 5 Serious neonatal morbidity or death.
[Analysis 1.6]
Analysis 1.6. Comparison 1 Outpatient versus inpatient induction with vaginal PGE2, Outcome 6 Women receiving epidural analgesia.
[Analysis 1.7]
Analysis 1.7. Comparison 1 Outpatient versus inpatient induction with vaginal PGE2, Outcome 7 Instrumental vaginal delivery.
[Analysis 1.8]
Analysis 1.8. Comparison 1 Outpatient versus inpatient induction with vaginal PGE2, Outcome 8 Caesarean section rate.
[Analysis 1.9]
Analysis 1.9. Comparison 1 Outpatient versus inpatient induction with vaginal PGE2, Outcome 9 Apgar score less than 7 at 5 minutes.
[Analysis 1.10]
Analysis 1.10. Comparison 1 Outpatient versus inpatient induction with vaginal PGE2, Outcome 10 Neonatal intensive care unit admission.
[Analysis 2.1]
Analysis 2.1. Comparison 2 Outpatient versus inpatient induction with controlled release PGE, Outcome 1 Vaginal delivery or labour not achieved within 24 hours.
[Analysis 2.2]
Analysis 2.2. Comparison 2 Outpatient versus inpatient induction with controlled release PGE, Outcome 2 Oxytocin required.
[Analysis 2.3]
Analysis 2.3. Comparison 2 Outpatient versus inpatient induction with controlled release PGE, Outcome 3 Mean satisfaction score measured during induction.
[Analysis 2.4]
Analysis 2.4. Comparison 2 Outpatient versus inpatient induction with controlled release PGE, Outcome 4 High level of maternal satisfaction measured during induction period.
[Analysis 2.5]
Analysis 2.5. Comparison 2 Outpatient versus inpatient induction with controlled release PGE, Outcome 5 Overall satisfaction score with labour and delivery measured in the postnatal period.
[Analysis 2.6]
Analysis 2.6. Comparison 2 Outpatient versus inpatient induction with controlled release PGE, Outcome 6 Number receiving epidural.
[Analysis 2.7]
Analysis 2.7. Comparison 2 Outpatient versus inpatient induction with controlled release PGE, Outcome 7 Uterine hyperstimulation (with or without fetal heart rate changes).
[Analysis 2.8]
Analysis 2.8. Comparison 2 Outpatient versus inpatient induction with controlled release PGE, Outcome 8 Instrumental vaginal delivery.
[Analysis 2.9]
Analysis 2.9. Comparison 2 Outpatient versus inpatient induction with controlled release PGE, Outcome 9 Caesarean section rate.
[Analysis 2.10]
Analysis 2.10. Comparison 2 Outpatient versus inpatient induction with controlled release PGE, Outcome 10 Neonatal intensive care admission.
[Analysis 2.11]
Analysis 2.11. Comparison 2 Outpatient versus inpatient induction with controlled release PGE, Outcome 11 Nonreassuring fetal heart rate.
[Analysis 2.12]
Analysis 2.12. Comparison 2 Outpatient versus inpatient induction with controlled release PGE, Outcome 12 Anxiety score measured during induction period (not pre-specified outcome).
[Analysis 3.1]
Analysis 3.1. Comparison 3 Outpatient versus inpatient induction with Foley catheter, Outcome 1 Women receiving epidural analgesia.
[Analysis 3.2]
Analysis 3.2. Comparison 3 Outpatient versus inpatient induction with Foley catheter, Outcome 2 Caesarean section rate.
[Analysis 3.3]
Analysis 3.3. Comparison 3 Outpatient versus inpatient induction with Foley catheter, Outcome 3 Neonatal intensive care unit admission.
[Analysis 3.4]
Analysis 3.4. Comparison 3 Outpatient versus inpatient induction with Foley catheter, Outcome 4 Total induction time (insertion of catheter to delivery).