Evidence map›Paper›PMID 26243986›Full record

ArticleJournal of obstetrics and gynaecology of India2015

Safety and Efficacy of Oral Mifepristone in Pre-induction Cervical Ripening and Induction of Labour in Prolonged Pregnancy.

Kanan Yelikar, Sonali Deshpande, Rinku Deshpande, Dipak Lone

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of obstetrics and gynaecology of India, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04271722 (Clinical Evaluation of Cervical Ripening in the Outpatient Setting Using Mifepristone Versus Balloon Catheter), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 28% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT04271722 nacompletednot on this mapstarted 2020, after this paper: background citation

Clinical Evaluation of Cervical Ripening in the Outpatient Setting Using Mifepristone Versus Balloon Catheter: a Randomized Controlled Trial

TypeinterventionalSponsorCentro Hospitalar Lisboa NorteRan2020 to 2022Enrolled101ConditionsLabor, Forced or Induced, Affecting Fetus or Newborn, Labor Onset and Length AbnormalitiesArmsCervical ripening
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Effect of Oral Mifepristone on Modified Bishop's Score in Term Pregnancy.Journal of obstetrics and gynaecology of India · 2024
    Article
  3. Comparison of outpatient with inpatient mifepristone usage for cervical ripening: A randomised controlled trial.European journal of obstetrics & gynecology and reproductive biology: X · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Kanan YelikarDepartment of Obstetrics and Gynecology, Government Medical College & Hospital, Aurangabad, India ; Ashwini Hospital, 12, Samarth Nagar, Aurangabad, 4310051 Maharashtra India.
Sonali DeshpandeDepartment of Obstetrics and Gynecology, Government Medical College & Hospital, Aurangabad, India.
Rinku DeshpandeDepartment of Obstetrics and Gynecology, Government Medical College & Hospital, Aurangabad, India.
Dipak LoneDepartment of Obstetrics and Gynecology, Government Medical College & Hospital, Aurangabad, India.
Government Medical College · INGovernment Medical College and Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo study the safety and efficacy of oral mifepristone in pre-induction cervical ripening and induction of labour in prolonged pregnancy.

methodsThis is a single blind randomized control trial. 100 women with prolonged pregnancy beyond 40 weeks and Bishop score <6 were recruited, and randomly allocated into two groups. Women who received Tab. Mifepristone 200 mg orally were assigned in Study Group (n = 50) and who received placebo orally were assigned in Control Group (n = 50) At the end of 24 h, change in the Bishop's score was assessed and Tab. Misoprostol 25 μg was administered intravaginally every 4 h, maximum 6 doses for induction/augmentation of labour. Analysis regarding safety and efficacy of the drug was done with regards to maternal and perinatal outcome.

resultsAmong 100 subjects, 50 received mifepristone and 50 received placebo. Mean induction to delivery interval was 1,907 ± 368.4 min for Study Group versus 2,079 ± 231.6 min for Control Group. The improvement in mean Bishop score was 5.0408 ± 1.90 for Study Group compared with 3.26 ± 1.15 was for Control Group after 24 h. Mean dose of misoprostol in Study Group was 40 ± 27.2, while the same in Control Group was 52 ± 19.46. Eight (16 %) women in Study Group and two (4 %) women in Control Group delivered vaginally within 24 h without any need of augmentation. There were 6 (12 %) cesareans and 2 (4 %) instrumental deliveries in Study Group and 8 (16 %) cesareans and 5 (10 %) instrumental deliveries in the Control Group. There was no statistically significant difference in perinatal outcomes between two groups.

conclusionsMifepristone had a modest effect on cervical ripening when given 24 h prior to labour induction and appearing to reduce need for misoprostol compared with placebo.

Indexed as

Induction of labourMifepristoneMisoprostol

Identifiers

PMID26243986
PMCPMC4518014
OpenAlexW2055190813

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.