Comparative Study of Induction of Labour at term by Misoprostol Vaginal Insert versus Dinoprostone Vaginal Insert | ||
| Aswan University Medical Journal | ||
| Article 13, Volume 5, Issue 3, September 2025, Pages 118-125 PDF (328.02 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/aumj.2025.332946.1157 | ||
| Authors | ||
| Aly Abdel-Bagy1; Mohamed Hamed Mekky* 1; reham essam2; hany ahmed Farouk1; Mohamed Salah1; Mohamed Anan1 | ||
| 1Department of obstetrics and gynaecology, faculty of medicine, Aswan university | ||
| 2Department of Obstetrics & gynecology Faculty of Medicine, Aswan University | ||
| Abstract | ||
| Background: Ineffective labor and excessive uterine activity, which can result in fetal hypoxia and raise the danger of induction, are the primary issues with inducing labor. Aim: To compare the efficacy, safety of a dose of 25µg vaginal misoprostol versus 3mg dinoprostone vaginal insertion in induction of labor at term. Patients and methods: This was a randomized controlled, single blind study conducted on 50 patients who were candidates for labor induction at term. The low-risk patients with unfavorable cervices before induction of labor were targeted at Obstetrics & Gynaecolog department, Aswan University Hospital, Egypt from march 2023 to september 2023. Results: Regarding delivery outcomes in two groups, In Group A, 20 cases of successful vaginal delivery were reported, with 5 cases requiring CS. Two cases were due to induction failure and three to severe fetal bradycardia. The mean induction time was 613 minutes. In Group B, 22 cases had successful vaginal delivery, with 3 cases requiring CS. The mean induction time was 327 minutes. there was no significant difference between two groups regarding Side effects and delivery complications p>0.05. Regarding fetal complications among the study subjects, in Group A and Group B the mean APGAR score was 8 while 2 neonates in each group required early NICU admission. Conclusion: According to the results of our study, Dinoprostone gives less time and can be used safely in induction of labour. | ||
| Keywords | ||
| Induction of Labour; Misoprostol Vaginal Insert; Dinoprostone Vaginal Insert; Outcome | ||
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