Evidence map›Paper›PMID 39553130›Full record

ArticleCureus2024

Role of Mifepristone in Induction of Labor in Full-Term Pregnancy.

Payal Boipai, Tulika Sinha, Shiwani Kumari, Pooja Kumari, Apoorwa Sharma, Kiran Trivedi

Abstract read
In one paragraph

Article in Cureus, 2024. 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
–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.

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. Review
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.

Payal BoipaiObstetrics and Gynecology, Rajendra Institute of Medical Sciences, Ranchi, IND.
Tulika SinhaObstetrics and Gynecology, Rajendra Institute of Medical Sciences, Ranchi, IND.
Shiwani KumariObstetrics and Gynecology, Rajendra Institute of Medical Sciences, Ranchi, IND.
Pooja KumariObstetrics and Gynecology, Rajendra Institute of Medical Sciences, Ranchi, IND.
Apoorwa SharmaObstetrics and Gynecology, Bharti Vidyapeeth Medical College, Pune, IND.
Kiran TrivediObstetrics and Gynecology, Rajendra Institute of Medical Sciences, Ranchi, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective This study sought to evaluate the safety and efficacy of mifepristone as a uterine sensitizer in shortening induction to delivery time in term pregnancy. Study design A prospective study was carried out on primigravida with a singleton term pregnancy, cephalic presentation, 37 to 41 weeks gestation, Bishop score ≤6, and consented to the study. A total of 116 participants were divided into two groups by random computer-generated sequence. On admission, the Bishop score was assessed. Group A (n=58) received 200 mg of mifepristone. Group B (n=58) received a placebo orally. In both groups, a post-intervention assessment was done after 24 hours, intracervical dinoprostone gel was administered with a maximum of three doses, six hours apart, if the Bishop score was ≤6. The primary outcome was to evaluate the effectiveness of oral mifepristone based on Bishop score improvement, the need for dinoprostone gel, and induction to delivery time. The secondary outcome was to evaluate the safety of oral mifepristone based on cesarean section rate and fetomaternal outcome. Results The Bishop score markedly improved in group A after 24 hours of intervention. A total of 31 women delivered vaginally after receiving only mifepristone. Mean induction to delivery time significantly improved in group A at 23.22±12.57 hours as compared to that in group B at 38.79±7.32 hours. Cesarean delivery rate was lower in group A (27.59%) compared to group B (44.83%). Birth outcomes were consistent in both groups with no neonatal mortality. Conclusion Oral mifepristone has proved as a promising agent as a uterine sensitizer in inducing labor as it has significantly decreased induction to delivery time.

Indexed as

active phase of laborbishop scoredinoprostone gelinduction to delivery intervallabor inductionmifepristoneprimigravidaterm pregnancy

Identifiers

PMID39553130
PMCPMC11566946

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Registered trials

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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.