Labor induction in preeclampsia: is misoprostol more effective than dinoprostone?

Lapaire, Olav; Zanetti-Dällenbach, Rosanna; Weber, Patrizia; Hösli, Irene; Holzgreve, Wolfgang; Surbek, Daniel (2007). Labor induction in preeclampsia: is misoprostol more effective than dinoprostone? Journal of perinatal medicine, 35(3), pp. 195-9. Berlin: De Gruyter 10.1515/JPM.2007.028

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OBJECTIVE: To compare the efficacy of vaginal misoprostol versus dinoprostone for induction of labor (IOL) in patients with preeclampsia according to the WHO criteria. STUDY DESIGN: Ninety-eight patients were retrospectively analyzed. A total of 47 patients received 3 mg dinoprostone suppositories every 6 h (max. 6 mg/24 h) whereas 51 patients in the misoprostol group received either 50 mug misoprostol vaginally every 12 h, or 25 mug every 6 h (max. 100 mug/24 h). Primary outcomes were vaginal delivery within 24 and 48 h, respectively. RESULTS: The probability of delivering within 48 h was more than three-fold higher in the misoprostol than in the dinoprostone group: odds ratio (OR)=3.48; 95% confidence interval (CI) 1.24, 10.30, whereas no significant difference was observed within 24 h (P=0.34). No correlation was seen between a ripe cervix prior to IOL and delivery within 24/48 h (P=0.33 and P=1.0, respectively). More cesarean sections were performed in the dinoprostone group due to failed IOL (P=0.0009). No significant differences in adverse maternal outcome were observed between both study groups, whereas more neonates (12 vs. 6) of the dinoprostone group were admitted to the NICU (P=0.068). CONCLUSION: This study suggests that misoprostol may have some advantages compared to dinoprostone, including improved efficacy and lower cost of the drug, even in cases of preeclampsia.

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Gynaecology
UniBE Contributor:	Surbek, Daniel
ISSN:	0300-5577
ISBN:	17378719
Publisher:	De Gruyter
Language:	English
Submitter:	Factscience Import
Date Deposited:	04 Oct 2013 14:52
Last Modified:	05 Dec 2022 14:16
Publisher DOI:	10.1515/JPM.2007.028
PubMed ID:	17378719
Web of Science ID:	000247004700004
URI:	https://boris.unibe.ch/id/eprint/21856 (FactScience: 16292)