Safety and effectiveness of outpatient compared with inpatient induction of labour in singleton uncomplicated pregnancies

Berglin L, Berter B, Carlsson Y, Elden H, Karlsson EK, Sangskär H, Sengpiel V, Sjögren P, Svanberg T, Strandell A
Record ID 32018011332
English
Authors' objectives: Background In Sweden almost all deliveries take place in a hospital-based obstetric unit. Induction of labour is a common obstetric intervention with 19% of all deliveries being induced during 2018 in Sweden. A significant increase in the number of inductions is expected, due to recently changed guidelines enabling earlier induction of late term pregnancies. To meet the expected increased demand at delivery wards, outpatient induction may be an option, provided that the safety and effectiveness of the procedure is ensured. Question at issue Is outpatient induction of labour, compared with inpatient induction, a safe and effective alternative regarding the risk of stillbirth/neonatal mortality and morbidity, maternal mortality and morbidity, and maternal satisfaction with care and birth experience, in women with low-risk pregnancies?
Authors' results and conclusions: This systematic review, including six RCTs, comparing out- with inpatient induction of labour for women with a singleton uncomplicated pregnancy planned for induction, shows that it is uncertain whether severe neonatal and maternal complications are affected (GRADE ⊕). There may be little or no difference in mode of delivery, while time from induction to delivery may be shortened, but total length of stay may be unaffected after out-vs. inpatient induction (GRADE ⊕⊕). There is a need for high quality trials to assess safety, effectiveness and costs.
Details
Project Status: Completed
Year Published: 2020
URL for published report: https://mellanarkiv-offentlig.vgregion.se/alfresco/s/archive/stream/public/v1/source/available/sofia/su4372-1728378332-389/native/2020_117%20HTA-rapport%20Outpatient%20induction.pdf
English language abstract: An English language summary is available
Publication Type: Full HTA
MeSH Terms
  • Labor, Induced
  • Outpatients
  • Pregnancy
  • Oxytocics
Keywords
  • Outpatient induction
Contact
Organisation Name: The Regional Health Technology Assessment Centre
Contact Address: The Regional Health Technology Assessment Centre, Region Vastra Gotaland, HTA-centrum, Roda Straket 8, Sahlgrenska Universitetssjukhuset, 413 45 GOTHENBORG, Sweden
Contact Name: hta-centrum@vgregion.se
Contact Email: hta-centrum@vgregion.se
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.