Evidence map›Paper›PMID 26958009›Full record

Trial reportAfrican health sciences2015

Effect of early amniotomy on the outcome of spontaneous labour: a randomized controlled trial of pregnant women in Enugu, South-east Nigeria.

Livinus N Onah, Cyril C Dim, Uchenna I Nwagha, Benjamin C Ozumba

Registry-linked trialOpen access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in African health sciences, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03504670 (Preterm Induction of Labor Timing of Amniotomy), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-weighted citation impact, top 17% 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.

NCT03504670 nacompletednot on this mapstarted 2018, after this paper: background citation

Preterm Induction of Labor Timing of Amniotomy: A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2018 to 2021Enrolled86ConditionsPreterm Pregnancy, Labor InductionArmsEarly Amniotomy, Late Amniotomy
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
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  3. Article
  4. Review
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.

Livinus N OnahDepartments of Obstetrics and Gynaecology, College of Medicine Enugu State University of Science and Technology, Enugu Nigeria.
Cyril C DimDepartments of Obstetrics and Gynaecology, College of Medicine University of Nigeria Enugu Campus, Nigeria.
Uchenna I NwaghaDepartments of Obstetrics and Gynaecology, College of Medicine University of Nigeria Enugu Campus, Nigeria.
Benjamin C OzumbaDepartments of Obstetrics and Gynaecology, College of Medicine University of Nigeria Enugu Campus, Nigeria.
University of Nigeria · NGEnugu State University of Science and Technology · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly amniotomy is common in obstetric practice but, its effectiveness has not been proven.

objectivesTo determine the effects of early amniotomy on the duration of labour, and other maternal / neonatal outcomes of uncomplicated pregnancies in Enugu, South-east Nigeria.

methodsA randomized controlled study of 214 consenting term pregnant women at the University of Nigeria Teaching Hospital Enugu, Nigeria. Intervention group received amniotomy early in active labour while the control group had their membranes conserved.

resultsMean duration of labour for the amniotomy group (279.4 ± 53.7 minutes) was significantly lower than that of control group (354.4 ± 67.5 minutes), (t = -8.988, p <0.001). Three (3.8%) women in amniotomy group needed oxytocin augmentation as against 21 (19.6%) women in the control group RR = 0.14, (CI 95%: 0.04 - 0.46), NNT = 16. The two groups did not vary with respect to cesarean section rate, newborn Apgar scores, and need for new born special care unit admission.

conclusionEarly amniotomy when compared to fetal membrane conservation reduced the duration of labour and need for oxytocin augmentation among term singleton pregnant women in Enugu, Nigeria. Its routine use in well selected cases may reduce prolonged labour and its complications.

Indexed as

Labor OnsetPregnancy OutcomeAdultAmnionExtraembryonic MembranesFemaleGestational AgeHospitals, TeachingHumansNigeriaOxytocinPregnancyTime FactorsOxytocincaesarean section rateduration of labourEarly amniotomyEnugu-Nigeriaoxytocin augmentationterm pregnancy

Identifiers

PMID26958009
PMCPMC4765421
OpenAlexW2286553075

What OpenQuestion holds

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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.