ArticleThe journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians2021
Evaluating the impact of a standardized induction protocol to reduce adverse perinatal outcomes: a prospective cohort study.
Article in The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07006896 (Labor Induction After Cesarean), which is not on this map. Cited by 9 papers.
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.
Labor Induction After Cesarean: A Randomized Trial Of Cervical Balloon With or Without Oxytocin
Who cites it
9 citing papers in PubMed.
- Association between intrapartum antibiotic prophylaxis for Group B Streptococcus colonization and clinical chorioamnionitis among patients undergoing induction of labor at term.American journal of obstetrics and gynecology · 2023Trial
- Cardiovascular-Related Maternal Mortality.Obstetrics and gynecology · 2026Review
- Standardization of labor induction management: A mixed-methods evaluation of the clinician perspective.Pregnancy (Hoboken, N.J.) · 2025Article
- The impact of implementing a standardized protocol for labor induction on obstetric disparities: Secondary analysis of a type I hybrid effectiveness-implementation trial.Pregnancy (Hoboken, N.J.) · 2025Article
- Increasing number of cervical examinations in term labor does not increase the risk of maternal intrapartum fever.Pregnancy (Hoboken, N.J.) · 2025Article
- Audit and feedback is an effective implementation strategy to increase fidelity to a multi-component labor induction protocol designed to reduce obstetric inequities.Implementation science communications · 2025Article
- Standardized protocol for labor induction: a type I hybrid effectiveness-implementation trial.Lancet regional health. Americas · 2025Article
- An innovative sequential mixed-methods approach to evaluating clinician acceptability during implementation of a standardized labor induction protocol.BMC medical research methodology · 2023Article
- Identifying the effective components of a standardized labor induction protocol: secondary analysis of a randomized, controlled trial.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveOur objective was to evaluate the impact of a standardized induction protocol on reducing maternal and neonatal morbidity in women undergoing an induction with an unfavorable cervix. STUDY
designWe performed a prospective cohort study of women undergoing an induction from May 2013 to June 2015. Women who were ≥18 years, ≥37 weeks with intact membranes and an unfavorable cervix (Bishop score of ≤6 and cervical dilation ≤2 cm) with no prior cesarean were included. We compared the following outcomes between women managed with the labor protocol versus women in an observation group, managed at the discretion of the provider: Labor length, cesarean delivery, maternal and neonatal morbidity, and neonatal intensive care unit admission for >48 hours. Multivariable models incorporated confounders specific to each outcome.
results855 women were included (491: labor protocol group; 364: observational group). Women in the labor protocol group had a shorter time to delivery (15.7 hours vs. 18.0 hours,
conclusionUtilization of a standardized induction protocol was associated with a significant reduction in neonatal morbidity without increasing the risk of cesarean or maternal morbidity.
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Registered trials
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