Psychosocial Outcomes of a Randomized Controlled Trial of Outpatient Cervical Priming for Induction of Labor

Deborah Turnbull, Pamela Adelson, Candice Oster, Robert Bryce, Jennifer Fereday, Christopher Wilkinson

    Research output: Contribution to journalArticlepeer-review

    24 Citations (Scopus)

    Abstract

    Background: Induction of labor, an increasingly common intervention, is often preceded by the application of an agent to "prime" or "ripen" the cervix. We conducted a randomized controlled trial to compare clinical, economic, and psychosocial outcomes of inpatient and outpatient cervical priming before induction of labor. In this paper we present the psychosocial outcomes. Methods: Women participating in a randomized controlled trial in two Australian metropolitan teaching hospitals completed questionnaires to measure anxiety and depression at enrollment, and to examine satisfaction, experiences, depression, and infant feeding 7 weeks after giving birth. Data analysis was by intention to treat and by having received the intervention as intended (approximately 50% in each group). Results: Of 1,004 eligible women, 85 percent consented (n = 407, outpatient; n = 414 inpatient). No statistically significant or clinically relevant differences were found in immediate anxiety, depression, or infant feeding. Small, statistically significant differences favoring outpatient priming were found in seven of the nine subscales in the 7-week postpartum questionnaire. The direction of the effect was maintained, mostly with a larger effect size in women who received the intervention. Conclusion: Women allocated to outpatient priming were more satisfied with their priming experience than women allocated to inpatient priming. Being informed that they could go home after cervical priming did not increase women's anxiety.

    Original languageEnglish
    Pages (from-to)75-80
    Number of pages6
    JournalBirth - Issues in Perinatal Care
    Volume40
    Issue number2
    DOIs
    Publication statusPublished - Jun 2013

    Keywords

    • Cervical priming
    • Induction of labor
    • Psychosocial outcomes
    • Randomized controlled trial
    • Women's satisfaction

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