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Related Experiment Video

Updated: Jun 17, 2026

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP

Published on: January 27, 2010

Outpatient or Inpatient Setting for Cervical Ripening Before Induction of Labour: An Individual Participant Data

Malitha Patabendige^1,2, Fei Chan^1,2, Michelle R Wise³

¹Department of Obstetrics and Gynaecology, Monash University, Melbourne, Australia.

BJOG : an International Journal of Obstetrics and Gynaecology

|June 11, 2025

Summary

Outpatient cervical ripening for induction of labour (IOL) is as effective and safe as inpatient settings. This meta-analysis found comparable rates of vaginal birth and composite outcomes between settings.

Keywords:

IPD ambulatory cervical ripening home individual participant data induction of labour meta‐analysis outpatient randomised trials

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Last Updated: Jun 17, 2026

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP

Published on: January 27, 2010

Biaxial Basal Tone and Passive Testing of the Murine Reproductive System Using a Pressure Myograph

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Published on: August 13, 2019

External Cephalic Version: Is it an Effective and Safe Procedure?

External Cephalic Version: Is it an Effective and Safe Procedure?

Published on: June 6, 2020

Area of Science:

Obstetrics and Gynecology
Maternal-Fetal Medicine
Reproductive Health

Background:

Optimal methods for induction of labour (IOL) remain unclear regarding effectiveness, safety, and patient experience.
Cervical ripening settings (outpatient vs. inpatient) for IOL require further comparative analysis.

Purpose of the Study:

To compare the effectiveness and safety of outpatient versus inpatient cervical ripening settings for induction of labour.
To evaluate key maternal and perinatal outcomes in different IOL settings.

Main Methods:

Individual participant data meta-analysis of randomised controlled trials (RCTs).
Searched multiple databases (MEDLINE, Embase, etc.) up to July 2024.
Included viable singleton gestations, with no language restrictions.

Main Results:

Eleven RCTs (2593 participants) provided individual participant data.
No significant differences in vaginal birth, composite perinatal, or composite maternal outcomes between outpatient and inpatient groups.
Outpatient group showed lower acidosis risk but higher epidural and oxytocin use; no perinatal deaths occurred in either group.

Conclusions:

Outpatient cervical ripening using mechanical methods is comparable in effectiveness and safety to inpatient methods for induction of labour.
Both settings demonstrate similar overall perinatal and maternal safety profiles.