Inpatient versus outpatient cervical priming for induction of labour: Therapeutic landscapes and women's preferences

Women's experiences of cervical ripening as inpatients on an antenatal ward

“…Engagement with the research data revealed a strong sense that participants' experiences of the cervical ripening procedure were "undermined" in relation to the 4 overarching themes identified. Although women's dissatisfaction with labour induction [11][12][13]15] and increased satisfaction with outpatient cervical ripening [3,[6][7][8][9][10] have been previously reported in other studies, the notion of women's experiences being undermined during inpatient cervical ripening has not previously been identified in the literature reviewed. This may be due to the fact that there is a dearth of previous enquiry exploring women's experiences of inpatient cervical ripening.…”

“…Clinical trials have focused on clinical outcomes, and/or the nature of the procedure, which have been the main focus of the debate over the setting for cervical ripening, with only a few of these studies reporting on maternal satisfaction as a secondary outcome [3,5,6]. Previous studies exploring women's experiences of cervical ripening have been in relation to clinical trials, thus the care participants received was not usual care, but rather care guided by a research protocol [7][8][9][10]. Furthermore, previous studies have been undertaken regarding women's views and experiences of the entire process of labour induction in the context of usual care [11][12][13][14][15], but none to date have focused on women's experiences of cervical ripening as inpatients.…”

“…Rauf et al [10] reported on women's experiences of outpatient cervical ripening with remote fetal monitoring, whilst O'Brien et al [7] further explored participants' experiences from the study by Rauf et al [10] using a qualitative approach. Similarly, using a survey technique and a qualitative approach respectively, Turnbull et al [9] and Oster et al [8] explored the satisfaction and experiences of participants who took part in an ongoing RCT exploring inpatient versus outpatient cervical ripening [9]. Findings from these studies were that women reported less pain and anxiety, comfort from significant others and a shorter stay in hospital with outpatient cervical ripening [3,[5][6][7][8][9][10].…”

Cervical ripening and induction of labour: Inpatient or outpatient, oral misoprostol or Foley catheter?

“…Most women who have received outpatient cervical ripening have been very positive and satisfied with their experience, especially those who were able to self-administer vaginal isosorbide mononitrate and thus have had greater involvement and control over the process in a comfortable and supportive home environment. However they also feel 'safer' in hospital especially if they reside a significant distance away from their hospital, and their preferences vary according to the services available to them as well as their socio-demographic backgrounds [15][16][17].…”

Induction of labour using prostaglandin (PGE2) vaginal gel

“…This underpins the imperative to explore women's wishes for care during pregnancy, labour and birth, and for including women in decisions regarding their care. Healthcare experience outcomes have been reported in various trials comparing different IOL methods and protocols [30,31,53,55,[123][124][125] but were not reported in the sole trial that compared single versus repeat PGE2 vaginal gel policies. These trials all used different surveys, and no consistent instrument was used.…”