Robinson Debbie, Campbell Kim, Hobson Sebastian R, MacDonald W Kim, Sawchuck Diane, Wagner Brenda
Winnipeg, MB.
Vancouver, BC.
J Obstet Gynaecol Can. 2023 Jan;45(1):70-77.e3. doi: 10.1016/j.jogc.2022.11.009.
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, RISKS, 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 control trials, and observational studies on cervical ripening and induction 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 Grey (unpublished) literature was identified by searching the websites of health technology assessment and health technology related agencies, clinical practice guideline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.
Misoprostol OXYTOCIN: RECOMMENDATIONS.
本指南提供了宫颈成熟和引产的证据及建议。旨在为接生人员和孕妇提供关于优化围产期护理的信息，同时避免不必要的产科干预。
所有孕妇。
益处、风险和成本：跨专业一致使用本指南、合适的设备以及训练有素的专业人员可加强安全的产时护理。应告知孕妇及其支持人员引产的益处和风险。
对截至2022年3月发表的文献进行了综述。使用PubMed、CINAHL和Cochrane图书馆检索关于宫颈成熟和引产的系统评价、随机对照试验及观察性研究。通过检索卫生技术评估及与卫生技术相关机构的网站、临床实践指南汇编、临床试验注册库以及国家和国际医学专业学会，识别灰色（未发表）文献。
作者采用推荐分级评估、制定和评价（GRADE）方法对证据质量和推荐强度进行评级。见在线附录A（表A1为定义，表A2为强推荐和有条件[弱]推荐的解释）。
所有产科护理提供者。
米索前列醇 缩宫素：推荐意见。
