Evidence map›Paper›PMID 33907254›Full record

Observational studyScientific reports2021

Misoprostol vs dinoprostone vaginal insert in labour induction: comparison of obstetrical outcome.

Jakub Mlodawski, Marta Mlodawska, Justyna Armanska, Grzegorz Swiercz, Stanisław Gluszek

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Jakub MlodawskiCollegium Medicum, Jan Kochanowski University in Kielce, Kielce, Poland. Jakub.mlodawski@ujk.edu.pl.
Marta MlodawskaCollegium Medicum, Jan Kochanowski University in Kielce, Kielce, Poland.
Justyna ArmanskaClinic of Obstetrics and Gynecology, Provincial Combined Hospital in Kielce, Kielce, Poland.
Grzegorz SwierczCollegium Medicum, Jan Kochanowski University in Kielce, Kielce, Poland.
Stanisław GluszekCollegium Medicum, Jan Kochanowski University in Kielce, Kielce, Poland.
Jan Kochanowski University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Induction of labour (IOL) is increasingly used in obstetric practice. For patients with unfavourable cervix, we are constantly looking for an optimal, in terms of effectiveness and safety, ripening of cervix protocol. It was retrospective cohort study. We analyzed obstetrical results in 481 patients undergoing IOL in one center using two different vaginal inserts that release prostaglandins at a constant rate for 24 h-misoprostol vaginal insert (MVI) with 200 µg of misoprostol (n = 367) and dinoprostone vaginal insert (DVI) with 10 mg of dinoprostone (n = 114). Full-term, single pregnancy patients with intact fetal membranes and the cervix evaluated in Bishop score ≤ 6 were included in the analysis. In the group of MVI patients, the labour ended with caesarean section more often (OR 2.71 95% CI 1.63-4.47) and more frequent unreassuring cardiotocographic trace indicating the surgical delivery occurred (OR 2.38 95% CI 1.10-5.17). We did not notice any differences in the percentage of vacuum extraction and patients in whom the use of oxytocin was necessary during labour induction. The clinical status of newborns after birth and the pH of cord blood did not differ between groups.The use of MVI 200 μg in patients with an unriped cervix is associated with a greater chance of completing delivery by caesarean section and increased chance of abnormal intrapartum CTG trace compared to the use of DVI 10 mg. These differences do not affect the clinical and biochemical status of the newborn.

Indexed as

Administration, IntravaginalAdultCesarean SectionDinoprostoneFemaleFetal BloodHumansInfant, NewbornLabor, InducedMisoprostolOxytocicsOxytocinPregnancyRetrospective StudiesTreatment OutcomeDinoprostoneMisoprostolOxytocicsOxytocin

Identifiers

PMID33907254
PMCPMC8079400
OpenAlexW3158119250

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.