Evidence map›Paper›PMID 29965989›Full record

ArticlePloS one2018

Induction of labor after one previous Cesarean section in women with an unfavorable cervix: A retrospective cohort study.

Tove Wallstrom, Jenny Bjorklund, Joanna Frykman, Hans Jarnbert-Pettersson, Helena Akerud, Elisabeth Darj, Kristina Gemzell-Danielsson, Eva Wiberg-Itzel

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.8field-weighted citation impact, top 14% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Induction of labor after one previous cesarean: Time for the MIBAC trial.Acta obstetricia et gynecologica Scandinavica · 2026
    Article
  3. Article
  4. Article
  5. Methods of induction of labor after cesarean with no prior vaginal delivery-Perinatal outcomes.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023
    Article
  6. Article
  7. 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

8 authors at 3 institutions in 2 countries.

Tove WallstromDepartment of Clinical Science and Education Karolinska Institute, Women's Clinic, Sodersjukhuset, Sweden.ORCID 0000-0003-2502-4116
Jenny BjorklundDepartment of Clinical Science and Education Karolinska Institute, Women's Clinic, Sodersjukhuset, Sweden.
Joanna FrykmanDepartment of Clinical Science and Education Karolinska Institute, Women's Clinic, Sodersjukhuset, Sweden.
Hans Jarnbert-PetterssonDepartment of Clinical Science and Education Karolinska Institute, Women's Clinic, Sodersjukhuset, Sweden.
Helena AkerudDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Elisabeth DarjDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Kristina Gemzell-DanielssonDepartment of Women's and Children's Health, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
Eva Wiberg-ItzelDepartment of Clinical Science and Education Karolinska Institute, Women's Clinic, Sodersjukhuset, Sweden.
Karolinska Institutet · SEUppsala University · SEKarolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveUterine rupture is a well-known but unusual complication in vaginal deliveries with a Cesarean section in the history. The risk of uterine rupture is at least two-fold when labor is induced. In Sweden, women are allowed to deliver vaginally after one previous Cesarean section, regardless if labor starts spontaneously or is induced. The aim of the study is to compare the proportion of uterine ruptures between the three methods (balloon catheter, Minprostin® and Cytotec®) for induction of labor in women with an unfavorable cervix and one previous Cesarean section. MATERIAL AND

methodsRetrospective cohort study of all women with one previous Cesarean section and induction of labor with an unfavorable cervix at the four largest clinics in Stockholm during 2012-2015. Inclusion criteria: Women with a previous Cesarean section and induction of labor with a viable fetus, cephalic presentation, singleton, at ≥34 w, (n = 910).

results3.0% (27/910) of the women with induction of labor had a uterine rupture, 91% of them had no previous vaginal delivery. The proportion of uterine ruptures was 2.0% (6/295) with orally administrated Cytotec®, 2.1% (7/335) with balloon catheter and 5.0% (14/ 281) when Minprostin® was used.

conclusionsNo difference in the proportion of uterine ruptures was shown when orally administrated Cytotec® and balloon catheter were compared (p = 0.64). Orally administrated Cytotec® and balloon catheter give a high success rate of vaginal deliveries (almost 70%) despite an unfavorable cervix.

Indexed as

Cervix UteriCesarean SectionAdultCohort StudiesFemaleHumansLabor, InducedRetrospective Studies

Identifiers

PMID29965989
PMCPMC6028115
OpenAlexW2811347545

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.