Aim

 

To compare the efficacy of dinoprostone gel and dinoprostone insert for induction of labor at term pregnancy.

 

Methods

2 groups- Gel and Insert 

 

50 women in each

 

Primary outcomes – active labor 

 

Number of women 

 

Time taken

 

Oxytocin needed?

 

 

 

Results 

 

86% women in the gel group and 90% in insert group achieved active labor within 24 hours 

 

Gel- mean time of induction to active phase was 11.8 ± 2.34 hours in primiparas and 10.8 ± 2.51 hours in multipara. 

 

Insert- mean time of induction to active phase was 11.42 ± 2.18 hours in primipara and 8.6 ± 2.39 hours in multipara

 

The need for oxytocin administration was greater in gel group

 

 

Conclusion 

For induction of labour, both dinoprostone intracervical gel and vaginal insert have same efficacy.