Comparative study to assess the safety of misoprostol and dinoprostone for cervical ripening and induction of labour


  • Neelima V. Nair Department of Obstetrics and Gynaecology, Sree Gokulam Medical College, Trivandrum, Kerala, India
  • Divya R. Prasad Department of Obstetrics and Gynaecology, Sree Gokulam Medical College, Trivandrum, Kerala, India
  • Geethanjali S. Mohan Department of Obstetrics and Gynaecology, Sree Gokulam Medical College, Trivandrum, Kerala, India



Misoprostol, Dinoprostone, Induction of labour, PPH, Hyperstimulation, Meconium staining


Background: To compare safety of induction of labour with dinoprostone and misoprostol with respect to maternal complications like fever, diarrhoea, vomiting, hyperstimulation, tachysystole; and Neonatal outcomes like APGAR score of baby, meconium aspiration, birth asphyxia, hyperbilirubinemia and NICU admission.

Methods: 200 Patients admitted to labour ward of Sree Gokulam Medical College and Research Foundation with an indication of induction of labour and unfavourable cervices were randomly assigned to receive either intravaginal misoprostol or intracervical dinoprostone between December 2012 and May 2014.

Results: There was no significant difference in maternal or neonatal complications between the two groups. Apgar at 1 minute was significantly higher for Misoprostol group while at 5 minutes Apgar was comparable between the two groups.

Conclusions: Misoprostol is as safe as dinoprostone for the induction of labour.


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Original Research Articles