Evidence map›Paper›PMID 38112629›Full record

Trial reportActa obstetricia et gynecologica Scandinavica2024

Labor induction at 41

Katariina Place, Leena Rahkonen, Aydin Tekay, Kirsi Väyrynen, Maija-Riitta Orden, Marja Vääräsmäki, Jukka Uotila, Kati Tihtonen, Kirsi Rinne, Kaarin Mäkikallio and 2 more

Open access · diamondAbstract readRandomized Controlled TrialMulticenter StudyEquivalence Trial
In one paragraph

Trial report in Acta obstetricia et gynecologica Scandinavica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Labor induction at 41Acta obstetricia et gynecologica Scandinavica · 2024
    Trial
  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

12 authors at 6 institutions in 1 country.

Katariina PlaceDepartment of Obstetrics and Gynecology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID 0000-0002-2916-7870
Leena RahkonenDepartment of Obstetrics and Gynecology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID 0000-0003-4507-6917
Aydin TekayDepartment of Obstetrics and Gynecology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Kirsi VäyrynenDepartment of Obstetrics and Gynecology, Central Finland Central Hospital, Jyväskylä, Finland.
Maija-Riitta OrdenDepartment of Obstetrics and Gynecology, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.
Marja VääräsmäkiClinical Medicine Research Unit, Department of Obstetrics and Gynecology, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
Jukka UotilaDepartment of Obstetrics and Gynecology, Tampere University Hospital and Tampere University, Tampere, Finland.
Kati TihtonenDepartment of Obstetrics and Gynecology, Tampere University Hospital and Tampere University, Tampere, Finland.ORCID 0000-0003-3217-979X
Kirsi RinneDepartment of Obstetrics and Gynecology, Turku University Hospital and University of Turku, Turku, Finland.
Kaarin MäkikallioDepartment of Obstetrics and Gynecology, Turku University Hospital and University of Turku, Turku, Finland.
Seppo HeinonenDepartment of Obstetrics and Gynecology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Heidi KruitDepartment of Obstetrics and Gynecology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID 0000-0003-0350-7088
University of Helsinki · FITampere University Hospital · FIUniversity of Turku · FICentral Finland Health Care District · FIOulu University Hospital · FIUniversity of Eastern Finland · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNeonatal and maternal risks increase in term pregnancy as gestational age advances and become increasingly evident post-term. Management practices of late- and post-term pregnancies vary, and the optimal time point for intervention by labor induction is yet to be determined. MATERIAL AND

methodsThis randomized controlled trial of 381 nulliparous women with unripe cervices compared labor induction at 41

resultsThe rates of CS (16.7% [n = 31] vs. 24.1% [n = 47], RR 0.7 [95% CI: 0.5-1.0], p = 0.07) and a composite of adverse neonatal outcomes (9.7% [n = 18] vs. 14.4% [n = 28], RR 0.7 [95% CI: 0.4-1.2] p = 0.16) did not significantly differ between the groups, but the operative delivery rate was lower in the early induction group than in the expectant management group (30.6% [n = 57] vs. 45.6% [n = 89], p = 0.003). The rates of hemorrhage ≥1000 mL and neonatal weight ≥4000 g were also lower in the early induction group, as was the vacuum extraction rate in women with vaginal delivery. Of the women with expectant management, 45.6% (n = 89) had spontaneous onset of labor. No perinatal deaths occurred, but one case of eclampsia appeared in the expectant management group.

conclusionsOffering labor induction to nulliparous women at 41

Indexed as

Cesarean SectionWatchful WaitingDelivery, ObstetricFemaleFinlandGestational AgeHumansInfant, NewbornLabor, InducedPregnancyexpectant managementlabor inductionlate-term pregnancypost-term pregnancyprolonged pregnancy

Identifiers

PMID38112629
PMCPMC10867371
OpenAlexW4389936188

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.