Evidence map›Paper›PMID 34404372›Full record

SynthesisBMC pregnancy and childbirth2021

The effect of dexamethasone on labor induction: a systematic review.

Zaynab Mohaghegh, Shahla Faal Siahkal, Hadis Bahmaei, Foruzan Sharifipour, Ehsan Kazemnejad Leyli, Maryam Zahedian

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07109258 (Effect of Dexamethasone on Labour Induction in Term Pregnancies), 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
–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.

NCT07109258 early_phase1recruitingnot on this mapstarted 2025, after this paper: background citation

Effect of Dexamethasone on Labour Induction in Term Pregnancies

TypeinterventionalSponsorCairo UniversityRan2025 to 2025Enrolled150ConditionsLabor InductionArmsDexamethasone (Decadron) 8mg IM injection, Misoprostol 25 mcg, Both Misoprostol 25 mcg & Dexamethasone 8mg IM injection
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

6 authors.

Zaynab MohagheghFamily Health Department, Health Deputy, Tehran University of Medical Sciences, Tehran, Iran.
Shahla Faal SiahkalDepartment of Midwifery, Marand Branch, Islamic Azad University, Marand, Iran. faalshahla1@yahoo.com.ORCID http://orcid.org/0000-0001-6760-3138
Hadis BahmaeiDepartment of Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Foruzan SharifipourDepartment of Midwifery, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Ehsan Kazemnejad LeyliGuilan Road Trauma Research Center, Biostatistics Department, Guilan University of Medical Sciences, Rasht, Iran.
Maryam ZahedianLiberian of Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the effect of dexamethasone administration on the interval between initiation of labor induction and active phase of labor.

methodsThe databases including PubMed, Cochrane Library, Embase, Scopus and Web of Science were searched for studies published up to June 27, 2021. Two types of articles were included: a) full-text articles published in English or any other languages, and b) Randomized Controlled Trials (RCTs). Participants were primi- or multigravida women with term or post-term pregnancy. The intervention group received parenteral or extra-amniotic dexamethasone whereas the control group received normal saline or no treatment before initiation of labor induction. All data were analyzed using Review Manager 5.3.

resultsSeventeen studies involving 1879 patients were included in the meta-analysis. Administration of dexamethasone reduced the interval between the initiation of labor induction and the beginning of active phase by about 70 min [MD: - 1.17 (- 1.37, - 1.00); P < 0.00001]. Duration of the first stage of labor in the dexamethasone group was about 88 min shorter than that in the control. There were no maternal and fetal adverse effects.

conclusionsDexamethasone could significantly reduce the length of induction-active phase interval, and length of the first stage of labor, with no difference in maternal or fetal adverse effects.

Indexed as

AdolescentAdultDexamethasoneFemaleGlucocorticoidsHumansLabor, InducedPregnancyPregnancy OutcomeTimeYoung AdultDexamethasoneGlucocorticoidsCervical ripeningCorticosteroidDexamethasoneLabor induction

Identifiers

PMID34404372
PMCPMC8369774

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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.