Trial reportAmerican journal of obstetrics and gynecology2008
The impact of the active management of risk in pregnancy at term on birth outcomes: a randomized clinical trial.
Trial report in American journal of obstetrics and gynecology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Induction of labour at or beyond 37 weeks' gestation.The Cochrane database of systematic reviews · 2020Pooled it
- Induction of labour for improving birth outcomes for women at or beyond term.The Cochrane database of systematic reviews · 2018Pooled it
- Planned early delivery versus expectant management of the term suspected compromised baby for improving outcomes.The Cochrane database of systematic reviews · 2015Pooled it
- Use of labour induction and risk of cesarean delivery: a systematic review and meta-analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2014Pooled it
- Induction of labour for improving birth outcomes for women at or beyond term.The Cochrane database of systematic reviews · 2012Pooled it
- Induction of labour versus expectant management for nulliparous women over 35 years of age: a multi-centre prospective, randomised controlled trial.BMC pregnancy and childbirth · 2012Trial
- Differences in Determinants: Racialized Obstetric Care and Increases in U.S. State Labor Induction Rates.Journal of health and social behavior · 2023Article
- Association between weighted adverse outcome score and race/ethnicity in women and neonates.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- Population based cohort study of fetal deaths, and neonatal and perinatal mortality at term within a Somali diaspora.BMC pregnancy and childbirth · 2021Article
- APPEARANCE OF NEURODEVELOPMENTAL DISORDERS IN CHILDREN DELIVERED POST-TERM: A CROSS-SECTION STUDY.Materia socio-medica · 2016Article
- Article
- Risk factors for antepartum stillbirth and the influence of maternal age in New South Wales Australia: a population based study.BMC pregnancy and childbirth · 2013Article
- Timing of delivery and pregnancy outcomes among laboring nulliparous women.American journal of obstetrics and gynecology · 2012Article
- Contemporary cesarean delivery practice in the United States.American journal of obstetrics and gynecology · 2010Article
- The active management of impending cephalopelvic disproportion in nulliparous women at term: a case series.Journal of pregnancy · 2010Article
- The association between increased use of labor induction and reduced rate of cesarean delivery.Journal of women's health (2002) · 2009Article
- Active management of risk in nulliparous pregnancy at term: association between a higher preventive labor induction rate and improved birth outcomes.American journal of obstetrics and gynecology · 2009Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveThe purpose of this study was to compare birth outcomes that result from the active management of risk in pregnancy at term (AMOR-IPAT) to those outcomes that result from standard management. STUDY
designThis was a randomized clinical trial with 270 women of mixed parity. AMOR-IPAT used preventive labor induction to ensure delivery before the end of an estimated optimal time of delivery. Rates of 4 adverse obstetric events and 2 composite measures were used to evaluate birth outcomes.
resultsThe AMOR-IPAT-exposed group had a similar cesarean delivery rate (10.3% vs 14.9%; P = .25), but a lower neonatal intensive care unit admission rate (1.5% vs 6.7%; P = .03), a higher uncomplicated vaginal birth rate (73.5% vs 62.8%; P = .046), and a lower mean Adverse Outcome Index score (1.4 vs 8.6; P = .03).
conclusionAMOR-IPAT exposure improved the pattern of birth outcomes. Larger randomized clinical trials are needed to explore further the impact of AMOR-IPAT on birth outcomes and to determine the best methods of preventive labor induction.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.