We will discuss Labour induction near term for women aged 35 or over: an economic evaluation by Walker and coauthors on the 29th March 2017. This paper is free to view from 20th March. Start date: 29 March 2017. The discussion will continue for … Continue reading
We will discuss Double-balloon catheter versus prostaglandin E2 for cervical ripening and labour induction by Du and co-authors on the 25th January for 7 days.
Start date: 25 January 2017 (the discussion will continue for 7 days between 25th January and 1st February 2017.
First hosted discussion session(s) on Twitter starts at GMT 8pm (3pm EST/12 noon PST) on 25 January 2017 (using hashtag #BlueJC).
The Blue Journal Club is an international journal club on women’s health research based on Twitter (as @BlueJCHost). We start our conversation on the last Wednesday of every month and use the hashtag #BlueJC for our tweets. Simply add this hashtag (“#BlueJC”) to each tweet and we will capture it. Each #BlueJC opens for 7 days with an advertised start time. All BJOG #BlueJC papers also have complementary slide sets suitable for face-to-face journal clubs with your local colleagues.
The discussion points are attached below:
A 26 year old woman in her first pregnancy requires induction of labour at term for reduced fetal movements. She has a normal CTG, normal scan with normal umbilical artery Doppler studies, and no other risk factors.
What method of induction of labour would you recommend?
Description of Research:
|Participants||Women with singleton pregnancies with live fetuses in vertex presentation, intact membranes, and unfavourable cervices, requiring induction of labour.|
|Intervention||Transcervical double balloon catheter|
|Comparison||Locally applied prostaglandin E2 analogues|
|Outcomes||Primary: (1) proportion of women achieving vaginal delivery within 24 hours, (2) proportion of women delivering by Caesarean
Secondary: (1) Uterine hyperstimulation; (2) Neonatal unit admission; (3) Maternal adverse events (PPH, uterine rupture).
|Study design||Metanalysis of randomised controlled trials
- How do you currently counsel women similar to the one in the scenario?
- Have you used double-balloon catheters? Do you find that they are well tolerated?
- How did the authors assess the quality of individual studies?
- What were the problems identified by their quality assessment of individual studies?
- Critically appraise this meta-analysis using the PRISMA checklist (http://prisma-statement.org/PRISMAStatement/Checklist.aspx)
- Can you briefly summarise the results of this study as a one-sentence take-home message?
- Would the results of this study influence your management of the woman in the scenario?
- How would the results of this study influence your daily practice?
Scottish Intercollegiate Guidelines Network. Critical Appraisal: notes and checklists. Methodology checklist 1: Systematic reviews and meta-analyses. http://www.sign.ac.uk/methodology/checklists.html (Last access 20 July 2016)