Evidence map›Paper›PMID 39885412›Full record

ArticleBMC pregnancy and childbirth2025

Women and birth partners' experiences of cervical ripening at home and in hospital.

Cassandra Yuill, Mairi Harkness, Helen Cheyne, Boo Charkin, Monica Ferreira, Eloise Price, Amarnath Bhide, Mairead Black, Kathleen Boyd, Neelam Heera-Shergill and 8 more

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

18 authors.

Cassandra YuillCentre for Maternal and Child Health Research, City St George's, University of London, Myddelton Street Building, 1 Myddelton Street, London, EC1R 1UB, United Kingdom. Cassandra.Yuill.2@city.ac.uk.
Mairi HarknessNursing Midwifery and Allied Health Professionals Research Unit (NMHAP-RU), University of Stirling, Stirling, United Kingdom.
Helen CheyneNursing Midwifery and Allied Health Professionals Research Unit (NMHAP-RU), University of Stirling, Stirling, United Kingdom.
Boo CharkinCentre for Maternal and Child Health Research, City St George's, University of London, Myddelton Street Building, 1 Myddelton Street, London, EC1R 1UB, United Kingdom.
Monica FerreiraCentre for Maternal and Child Health Research, City St George's, University of London, Myddelton Street Building, 1 Myddelton Street, London, EC1R 1UB, United Kingdom.
Eloise PriceCentre for Maternal and Child Health Research, City St George's, University of London, Myddelton Street Building, 1 Myddelton Street, London, EC1R 1UB, United Kingdom.
Amarnath BhideDepartment in Obstetrics and Fetal Medicine, St George's Hospital, London, United Kingdom.
Mairead BlackSchool of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, United Kingdom.
Kathleen BoydSchool of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom.
Neelam Heera-ShergillCysters (CIO), Birmingham, United Kingdom.
Neena ModiFaculty of Medicine, Imperial College London, London, United Kingdom.
John NorrieEdinburgh Clinical Trials Unit, Usher Institute, University of Edinburgh, Edinburgh, United Kingdom.
Dharmintra PasupathyReproduction and Perinatal Centre, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Julia SandersSchool of Healthcare Sciences, University of Cardiff, Cardiff, United Kingdom.
Sarah J StockCentre for Reproductive Health, Institute for Regeneration and Repair, University of Edinburgh, Edinburgh, United Kingdom.
Rosemary TownsendCentre for Reproductive Health, Institute for Regeneration and Repair, University of Edinburgh, Edinburgh, United Kingdom.
Linda J WilliamsEdinburgh Clinical Trials Unit, Usher Institute, University of Edinburgh, Edinburgh, United Kingdom.
Christine McCourtCentre for Maternal and Child Health Research, City St George's, University of London, Myddelton Street Building, 1 Myddelton Street, London, EC1R 1UB, United Kingdom.

Funding

National Institute for Health and Care Research NIHR127569
6 · The paper itself

Abstract

backgroundIn the United Kingdom, induction of labour rates are rapidly rising, and around a third of pregnant women undergo the procedure. The first stage, cervical ripening, traditionally carried out in hospital, is increasingly offered outpatient - or 'at home'. The current induction of labour rates place considerable demand on maternity services and impact women's experiences of care, and at home cervical ripening has been suggested as potential solution for alleviating these. However, there is a lack of evidence on both women's and birth partners' experiences and acceptability of at home cervical ripening informing its practice.

methodsWe undertook a qualitative study of women and their birth partners' experiences of cervical ripening at home and in hospital. Semi-structured interviews explored experiences, acceptability and consequences of cervical ripening.

resultsWe identified six key themes: 'Information and choice'; 'Physical and sensorial environments'; 'Pain'; 'Uncertainty'; 'Care during induction'; 'Lasting effects'. Women and birth partners experienced limited choice about cervical ripening. Many reported that shared hospital spaces contributed to negative experiences, while home environments were comforting. Women were unprepared for cervical ripening-associated pain, and delays and uncertainty during induction caused anxiety. Supportive care contributed to more positive experiences; however, some reported difficult or traumatic experiences related to induction.

conclusionsMost participants were positive about home cervical ripening, yet our study highlights the lack of information and genuine choice regarding cervical ripening and induction. Privacy, presence of birth partners and supportive care contributed to more positive experiences among women. Home cervical ripening may be acceptable to some women and birth partners in the context of informed choice and personalised care.

Indexed as

Cervical RipeningHome ChildbirthLabor, InducedAdultFemaleHumansPatient Acceptance of Health CarePregnancyQualitative ResearchSpousesUncertaintyUnited KingdomYoung AdultAcceptabilityExperienceHome cervical ripeningInduction of labourInformed choiceOutpatient induction of labour

Identifiers

PMID39885412
PMCPMC11780925

What OpenQuestion holds

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LicenceCC BY
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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.