Winnipeg, MB.
Vancouver, BC.
J Obstet Gynaecol Can. 2023 Jan;45(1):35-44.e1. doi: 10.1016/j.jogc.2022.11.005.
This guideline presents evidence and recommendations for cervical ripening and induction of labour. It aims to provide information to birth attendants and pregnant individuals on optimal perinatal care while avoiding unnecessary obstetrical intervention.
All pregnant patients.
BENEFITS, HARMS, AND COSTS: Consistent interprofessional use of the guideline, appropriate equipment, and trained professional staff enhance safe intrapartum care. Pregnant individuals and their support person(s) should be informed of the benefits and risks of induction of labour.
Literature published to March 2022 was reviewed. PubMed, CINAHL, and the Cochrane Library were used to search for systematic reviews, randomized controlled trials, and observational studies on cervical ripening and induction of labour. Grey (unpublished) literature was identified by searching the websites of health technology assessment and health technology related agencies, clinical practice guideline collections, clinical trial registries, and national and international medical specialty societies.
The authors rated the quality of evidence and strength of recommendations using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. See online Appendix A (Tables A1 for definitions and A2 for interpretations of strong and conditional [weak] recommendations).
All providers of obstetrical care.
本指南介绍了宫颈成熟和引产的证据和推荐意见。其旨在为分娩护理人员和孕妇提供有关围产期最佳护理的信息，同时避免不必要的产科干预。
所有孕妇。
获益、危害和成本：一致的跨专业使用指南、适当的设备和经过培训的专业人员可增强安全的分娩护理。孕妇及其支持人员应被告知引产的获益和风险。
对截至 2022 年 3 月发表的文献进行了回顾。通过检索 PubMed、CINAHL 和 Cochrane 图书馆，查找关于宫颈成熟和引产的系统评价、随机对照试验和观察性研究。通过搜索卫生技术评估和卫生技术相关机构、临床实践指南集、临床试验注册处以及国家和国际医学专业协会的网站，确定了灰色（未发表）文献。
作者使用推荐评估、制定与评价（GRADE）方法对证据质量和推荐强度进行了评级。请参见在线附录 A（表 A1 用于定义，表 A2 用于解释强推荐和有条件推荐[弱推荐]）。
所有产科护理提供者。
