Evidence map›Paper›PMID 37160383›Full record

ArticleBMJ open2023

Experience of induction of labour: a cross-sectional postnatal survey of women at UK maternity units.

Mairi Harkness, Cassandra Yuill, Helen Cheyne, Christine McCourt, Mairead Black, Dharmintra Pasupathy, Julia Sanders, Neelam Heera, Chlorice Wallace, Sarah Jane Stock

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 16 citations in OpenAlex.

  1. Outpatient cervical ripening with Foley balloon or mifepristone: Insights into the time taken to reach the active phase of labor.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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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

10 authors at 7 institutions in 2 countries.

Mairi HarknessNursing Midwifery and Allied Health Research Unit, University of Stirling, Stirling, UK mairi.harkness@stir.ac.uk.ORCID 0000-0002-1007-7648
Cassandra YuillCentre for Maternal and Child Health Research, City University of London, London, UK.
Helen CheyneNursing Midwifery and Allied Health Research Unit, University of Stirling, Stirling, UK.ORCID 0000-0001-5738-8390
Christine McCourtCentre for Maternal and Child Health Research, City University of London, London, UK.
Mairead BlackAberdeen Centre for Women's Health Research, Aberdeen Maternity Hospital, Aberdeen, UK.
Dharmintra PasupathyFaculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Julia SandersSchool of Healthcare Sciences, Cardiff University, Cardiff, UK.
Neelam HeeraCysters, Birmingham, UK.
Chlorice WallacePrincess Royal University Hospital, Orpington, UK.
Sarah Jane StockThe University of Edinburgh Usher Institute of Population Health Sciences and Informatics, Edinburgh, UK.ORCID 0000-0003-4308-856X
City, University of London · GBUniversity of Stirling · GBAberdeen Maternity Hospital · GBCardiff University · GBMRC Centre for Reproductive Health · GBPrincess Royal University Hospital · GBThe University of Sydney · AU

Funding

Department of Health NIHR127569Wellcome Trust
6 · The paper itself

Abstract

objectivesThis study explored women's views and experiences of key elements of the induction of labour (IOL) process, including at home or in hospital cervical ripening (CR).

designA questionnaire-based postnatal survey undertaken as part of the CHOICE Study process evaluation. The questionnaire was administered online and included fixed response and free-text options.

settingNational Health Service maternity units in the UK.

participants309 women who had an IOL. OUTCOME MEASURES: The primary outcome measure was experience of IOL. Few women returned home during CR, meaning that statistical comparison between those who experienced home-based and hospital-based CR was not possible. Findings are reported as descriptive statistics with content analysis of women's comments providing context.

resultsInformation to support choice and understand what to expect about IOL is often inadequate or unavailable. Having IOL can create anxiety and remove options for birth that women had hoped would enhance their experience. Although it can provide a more comfortable environment, home CR is not always an acceptable solution. Women described maternity care negatively impacted by staffing shortages; delays to care sometimes led to unsafe situations. Women who had a positive experience of IOL described supportive interaction with staff as a significant contribution to that.

conclusionsWomen do not experience IOL as a benign and consequence free intervention. There is urgent need for research to better target IOL and optimise safety and experience for women and their babies. Relatively few women were offered CR at home and further research is needed on this experience.

Indexed as

Maternal Health ServicesState MedicineCross-Sectional StudiesFemaleHumansInfantLabor, InducedPregnancyUnited KingdomDecision MakingOBSTETRICSQuality in health care

Identifiers

PMID37160383
PMCPMC10174017
OpenAlexW4376132190

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.