Evidence map›Paper›PMID 42098695›Full record

Trial reportBMC pregnancy and childbirth2026

Study protocol FRENCH-ARRIVE: labor induction in low-risk nulliparous women at 39 weeks of gestation to reduce cesarean births: a randomized trial of induction versus expectant management in France.

Hugo Madar, Jean-Marie Chrétien, Hanane Bouchghoul, Alizée Froeliger, Aline Bibes, Caroline Lacoste, Damien Subtil, Patrick Saulnier, Loïc Sentilhes, FRENCH-ARRIVE Study Group and the Groupe de Recherche en Obstétrique et Gynécologie (GROG)

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04799912 (Labor Induction in Low-risk Nulliparous Women at 39 Weeks of Gestation to Reduce Cesarean), which is not on this 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.

NCT04799912 narecruitingnot on this map

Labor Induction in Low-risk Nulliparous Women at 39 Weeks of Gestation to Reduce Cesarean: A Randomized Trial of Induction Versus Expectant Management in France (FRENCH-ARRIVE)

TypeinterventionalSponsorUniversity Hospital, BordeauxRan2021 to 2027Enrolled4,200ConditionsCesarean SectionArmsElective labor induction
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Optimal timing for induction of labor in normotensive women: A retrospective cohort study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    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

10 authors.

Hugo MadarDepartment of Obstetrics and Gynecology, Bordeaux University Hospital, Place Amélie Raba Léon, Bordeaux, 33076, France.
Jean-Marie ChrétienDepartment of Data Science, Clinical Research and Innovation Direction, Angers University Hospital, Angers, France.
Hanane BouchghoulDepartment of Obstetrics and Gynecology, Bordeaux University Hospital, Place Amélie Raba Léon, Bordeaux, 33076, France.
Alizée FroeligerDepartment of Obstetrics and Gynecology, Bordeaux University Hospital, Place Amélie Raba Léon, Bordeaux, 33076, France.
Aline BibesCoordinating Research Midwife of the FRENCH-ARRIVE Trial, Bordeaux University Hospital, Bordeaux, France.
Caroline LacosteSafety and Vigilance Unit, Clinical Research and Innovation Direction, Bordeaux University Hospital, Bordeaux, France.
Damien SubtilDepartment of Obstetrics and Gynecology, Lille University Hospital, Lille, France.
Patrick SaulnierMethodology and Biostatistics Unit, University Hospital of Angers, Angers, France.
Loïc SentilhesDepartment of Obstetrics and Gynecology, Bordeaux University Hospital, Place Amélie Raba Léon, Bordeaux, 33076, France. loicsentilhes@hotmail.com.
FRENCH-ARRIVE Study Group and the Groupe de Recherche en Obstétrique et Gynécologie (GROG)

Funding

Ministère des Affaires Sociales et de la Santé National PHRC, 2019, 19-0063
6 · The paper itself

Abstract

backgroundThe ARRIVE trial showed that elective induction of labor at 39 weeks for low-risk nulliparous women compared to expectant management reduced cesarean delivery rates with a nonsignificant trend toward decreased perinatal morbidity. However, the generalizability of these findings to other health care systems and obstetric contexts outside of the United States remains uncertain.

methodsThe FRENCH-ARRIVE multicenter, randomized controlled trial with two parallel groups, modeled on the ARRIVE trial, will include 4200 low-risk nulliparous women with singleton pregnancies from 37 weeks 0 days through 38 weeks 6 days of gestation. Women will be randomized in a 1:1 ratio to either elective induction between 39 weeks 0 days and 39 weeks 4 days of gestation or expectant management. The primary outcome will be the incidence of cesarean deliveries after randomization, regardless of indication. This study will have a power of 80% to show a 20% reduction in the cesarean incidence from 15.0% to 12.0%. Secondary outcomes will include indicators of maternal and perinatal morbidity and of health-care resource utilization, defined consistently with those of the ARRIVE trial to allow meaningful comparisons. DISCUSSION: This large, multicenter, randomized controlled trial, as the first replication of the ARRIVE trial in a different setting, aims to compare the effect of elective induction of labor at 39 weeks of gestation versus expectant management on the incidence of cesarean delivery in low-risk nulliparous women.

trial registrationClinicalTrials.gov NCT04799912 (March 12, 2021).

Indexed as

Cesarean SectionLabor, InducedWatchful WaitingAdultFemaleFranceGestational AgeHumansParityPregnancyARRIVECesarean deliveryExpectant managementFRENCH-ARRIVELabor inductionLow-risk nulliparous womenMaternal satisfactionNeonatal morbidityRandomized trial

Identifiers

PMID42098695
PMCPMC13321509

What OpenQuestion holds

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Registered trials

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.