Evidence map›Paper›PMID 36814336›Full record

ArticleTrials2023

A randomised open-label trial to assess outpatient induction of labour (HOMEIND) and compare efficacy of Propess vs Dilapan-S® for induction of labour at 39 weeks' gestation in normal risk nulliparous women: study protocol for a randomised controlled trial.

Sarah M Nicholson, Orla Smith, Susan Hatt, Zara Molphy, Patrick Dicker, Karen Flood, Fergal Malone

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

7 authors at 2 institutions in 1 country.

Sarah M NicholsonRoyal College of Surgeons in Ireland, Dublin, Ireland. sarahnicholson@rcsi.com.ORCID http://orcid.org/0000-0002-7189-262X
Orla SmithRotunda Hospital, Dublin, Ireland.
Susan HattRoyal College of Surgeons in Ireland, Dublin, Ireland.
Zara MolphyRoyal College of Surgeons in Ireland, Dublin, Ireland.
Patrick DickerRoyal College of Surgeons in Ireland, Dublin, Ireland.
Karen FloodRoyal College of Surgeons in Ireland, Dublin, Ireland.
Fergal MaloneRoyal College of Surgeons in Ireland, Dublin, Ireland.
Royal College of Surgeons in Ireland · IERotunda Hospital · IE

Funding

Rotunda Foundation RF/RCSI/2020/04
6 · The paper itself

Abstract

backgroundInduction of labour (IOL) at 39 weeks has been shown to decrease maternal and neonatal adverse outcomes. Given the growing demand for 39-week IOL, it is imperative that effective methods be assessed for induction in the outpatient setting. The aim of this study is to answer the clinical question as to whether Dilapan-S® vs Propess® as a method of cervical ripening is non-inferior in the outpatient setting at 39 weeks and to ascertain whether Dilapan-S® 12 h is non-inferior to Dilapan-S® 24 h.

methodsThis study is an open-label parallel group single-centre randomised trial. Participants are normal risk nulliparous women who have no pregnancy-related or medical contraindication to IOL. Women will be randomised to one of three induction groups-Dilapan-S® (12-h insertion or 24-h insertion) or Propess. Induction will be initiated between 39+0 and 39+4 weeks' gestation and participants will return home for either 12 or 24 h. They will be readmitted 12/24 h later in order to continue with induction of labour. Patient recruitment will take place over 30 months within a single centre. The study will recruit a maximum 109 women for each study arm. Total duration of participants' involvement in the trial will be 8 weeks to allow for postpartum follow-up. DISCUSSION: This study will definitively answer whether Dilapan-S is non-inferior to Propess® as a method of induction of labour in the outpatient setting and whether cervical ripening with Dilapan-S over a 12-h timeframe is non-inferior to cervical ripening with Dilapan-S over a 24-h timeframe.

trial registrationEudraCT Number 2019-004697-25 Registered 14 September 2020.

Indexed as

OutpatientsOxytocicsCervical RipeningFemaleHumansInfant, NewbornLabor, InducedPolymersPregnancyRandomized Controlled Trials as TopicdilapanOxytocicsPolymersCervical primingCervical ripeningDilapan-SElective induction of labourInductionInduction of labourOsmotic dilatorOutpatient inductionPropess

Identifiers

PMID36814336
PMCPMC9946860
OpenAlexW4321482857

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.