{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:00:38Z","timestamp":1791975638171,"version":"4.4.0"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,3,10]],"date-time":"2021-03-10T00:00:00Z","timestamp":1615334400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004366","name":"Tabriz University of Medical Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004366","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To develop and validate the nomogram for risk estimation of Caesarean delivery and to compare the effect of cervical ripening balloon, evening primrose oil (EPO) and misoprostol on Bishop Score and duration of the first stage of labour.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>The first phase is a prospective study, and the second phase is a randomized controlled trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In the first phase, the nomogram will be developed and validated over 300 participants, and in the second phase, the 90 participants will be allocated to three groups: vaginal 25mcg misoprostol, vaginal 4000mg EPO and double\u2010balloon catheter, through block randomization method. The Bishop score will be evaluated every 4\u00a0hr, and if required the same dose will be repeated. Maximum waiting time for balloon is 12\u00a0hr if not effective, the catheter will be removed, and other interventions will be done according to guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The nomogram will help informed decision\u2010making for women undergoing an induction with an unfavourable cervix and introducing effective low\u2010complication methods of labour induction can improve the pregnancy outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nop2.846","type":"journal-article","created":{"date-parts":[[2021,3,10]],"date-time":"2021-03-10T15:19:54Z","timestamp":1615389594000},"page":"2892-2900","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Developing and validating the Caesarean risk assessment nomogram and comparing the effect of cervical ripening balloon, evening primrose oil and misoprostol on childbirth outcomes in term pregnancies: A study protocol"],"prefix":"10.1002","volume":"8","author":[{"given":"Shahla","family":"Hemmatzadeh","sequence":"first","affiliation":[{"name":"Students\u2019 Research Committee Midwifery Department Tabriz University of Medical sciences Tabriz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatemeh","family":"Abbasalizadeh","sequence":"additional","affiliation":[{"name":"Department of Gynecology Faculty of medicine Tabriz University of Medical Sciences Tabriz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sakineh","family":"Mohammad\u2010Alizadeh\u2010Charandabi","sequence":"additional","affiliation":[{"name":"Department of Midwifery Faculty of Nursing and Midwifery Tabriz University of Medical Sciences Tabriz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Asghari Jafarabady","sequence":"additional","affiliation":[{"name":"Mohammad Asghari Faculty of health Department of Epidemiology Tabriz University of Medical Sciences Tabriz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8360-4309","authenticated-orcid":false,"given":"Mojgan","family":"Mirghafourvand","sequence":"additional","affiliation":[{"name":"Social Determinants of Health Research Center Tabriz University of Medical Sciences Tabriz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000452744.06088.48"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2006.07.043"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2016.1169520"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2019.06.002"},{"key":"e_1_2_10_6_1","first-page":"989","volume-title":"Williams Obstetrics","author":"Dashe J. 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