Evidence map›Paper›PMID 30496265›Full record

Observational studyPloS one2018

Elective induction of labor: A prospective observational study.

Malin Dögl, Pål Romundstad, Line Dahlgaard Berntzen, Oliv Camilla Fremgaarden, Katrine Kirial, Anne Molne Kjøllesdal, Benedicte S Nygaard, Line Robberstad, Thorbjørn Steen, Christian Tappert and 4 more

Abstract readObservational Study
In one paragraph

Observational study in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Trends in labor induction indications: A 20-year population-based study.Acta obstetricia et gynecologica Scandinavica · 2022
    Article
  8. Analysis of Variables that Influence the Success Rates of Induction of Labor with Misoprostol: A Retrospective Observational Study.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2022
    Observational
  9. 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

14 authors.

Malin DöglDepartment of Obstetrics and Gynecology, St. Olav's Hospital, University Hospital of Trondheim, Trondheim, Norway.ORCID 0000-0002-9241-0730
Pål RomundstadDepartment of Public Health, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway.ORCID 0000-0003-2061-4336
Line Dahlgaard BerntzenDepartment of Obstetrics, Oslo University Hospital, Oslo, Norway.
Oliv Camilla FremgaardenDepartment of Gynecology and Obstetrics, Innlandet Hospital Trust, Elverum, Norway.
Katrine KirialDepartment of Gynecology and Obstetrics, Stavanger University Hospital, Stavanger, Norway.
Anne Molne KjøllesdalDepartment of Gynecology and Obstetrics, Vestre Viken Hospital Trust, Drammen, Norway.
Benedicte S NygaardDepartment of Obstetrics and Gynecology, Sørlandet Hospital, Kristiansand, Norway.
Line RobberstadDepartment of Obstetrics and Gynecology, Ålesund Hospital, Møre and Romsdal Hospital Trust, Ålesund, Norway.
Thorbjørn SteenDepartment of Obstetrics, Oslo University Hospital, Oslo, Norway.
Christian TappertDepartment of Obstetrics and Gynecology, St. Olav's Hospital, University Hospital of Trondheim, Trondheim, Norway.ORCID 0000-0002-5225-0672
Cecilie Fredvik TorkildsenDepartment of Gynecology and Obstetrics, Haugesund Hospital, Haugesund, Norway.
Magdalena R VaernesbrandenDepartment of Gynecology and Obstetrics, Østfold Hospital Trust, Norway.
Alexander VietheerDepartment of Obstetrics and Gynecology, Haukeland University Hospital, Bergen, Norway.
Runa HeimstadDepartment of Obstetrics and Gynecology, St. Olav's Hospital, University Hospital of Trondheim, Trondheim, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of the present study was to assess indications for induction and describe the characteristics and delivery outcome in medical compared to non-medical/elective inductions. During a three-month period, 1663 term inductions were registered in 24 delivery units in Norway. Inclusion criteria were singleton pregnancies with cephalic presentation at gestational age 37+0 and beyond. Indications, pre-induction Bishop scores, mode of delivery and adverse maternal and fetal outcomes were registered, and compared between the medically indicated and elective induction groups. Ten percent of the inductions were elective, and the four most common indications were maternal request (35%), a previous negative delivery experience or difficult obstetric history (19%), maternal fatigue/tiredness (17%) and anxiety (15%). Nearly half of these inductions were performed at 39+0-40+6 weeks. There were fewer nulliparous women in the elective compared to the medically indicated induction group, 16% vs. 52% (p<0.05). The cesarean section rate in the elective induction group was 14% and 17% in the medically indicated group (14% vs. 17%, OR = 0.8, 95% CI 0.5-1.3). We found that one in ten inductions in Norway is performed without a strict medical indication and 86% of these inductions resulted in vaginal delivery.

Indexed as

AdultCesarean SectionDelivery, ObstetricElective Surgical ProceduresFemaleGestational AgeHumansLabor, InducedLabor, ObstetricNorwayPregnancyPregnancy OutcomeProspective StudiesRisk FactorsTerm Birth

Identifiers

PMID30496265
PMCPMC6264859

What OpenQuestion holds

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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.