Evidence map›Paper›PMID 35422562›Full record

ArticleMedical archives (Sarajevo, Bosnia and Herzegovina)2022

Dinoprostone Vaginal Insert for Induction of Labor in Women with Low-Risk Pregnancies: A Prospective Study.

Nguyen Duy Anh, Tran Anh Duc, Nguyen-Thi Thu Ha, Duong-Thi Tra Giang, Do Tuan Dat, Phan-Thi Huyen Thuong, Nguyen Khac Toan, Nguyen Tai Duc, Nguyen Minh Duc

Open access · greenAbstract read
In one paragraph

Article in Medical archives (Sarajevo, Bosnia and Herzegovina), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Safety of the use of dinoprostone gel and vaginal insert for induction of labor: A multicenter retrospective cohort study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Observational
  3. Article
  4. Article
  5. 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

9 authors at 2 institutions in 1 country.

Nguyen Duy AnhDepartment of Delivery, Hanoi Obstetrics and Gynecology Hospital, Hanoi, Vietnam.
Tran Anh DucDepartment of Obstetrics and Gynecology, Hanoi Medical University, Hanoi, Vietnam.
Nguyen-Thi Thu HaDepartment of Obstetrics and Gynecology, University of Medicine and Pharmacy -Vietnam National University, Hanoi, Vietnam.
Duong-Thi Tra GiangDepartment of Delivery, Hanoi Obstetrics and Gynecology Hospital, Hanoi, Vietnam.
Do Tuan DatDepartment of Obstetrics and Gynecology, Hanoi Medical University, Hanoi, Vietnam.
Phan-Thi Huyen ThuongDepartment of Delivery, Hanoi Obstetrics and Gynecology Hospital, Hanoi, Vietnam.
Nguyen Khac ToanDepartment of Delivery, Hanoi Obstetrics and Gynecology Hospital, Hanoi, Vietnam.
Nguyen Tai DucDepartment of High-risk Pregnancy, Hanoi Obstetrics and Gynecology Hospital, Hanoi, Vietnam.
Nguyen Minh DucDepartment of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam.
Hanoi Medical University · VNPham Ngoc Thach University of Medicine · VN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Induction of labor (IOL) is a technique to establish vaginal delivery when the risks for continuing the pregnancy for mother or baby are higher than the risks of delivery. It is usually performed in high-risk pregnancies, but can also be beneficial in low-risk populations, as shown in the ARRIVE trial. Objective: To evaluate the effectiveness and safety of slow-release vaginal dinoprostone (prostaglandin E2 10 mg) for labor induction in women with low-risk pregnancies. Methods: A prospective study was performed at Hanoi Obstetrics and Gynecology Hospital, Vietnam. We recruited women with low-risk pregnancies from 39 weeks + 0 days to 40 weeks + 6 days of gestation and an unfavorable cervix. Women who participated received 10 mg intravaginal slow-release dinoprostone (Propess) for induction of labor. Labor, deliveries, and post-partum management were performed according to the local protocol. Results: From September 2020 to March 2021, 102 low-risk women were eligible to participate in the study. Among these women, 67.6% had vaginal deliveries, 6.9% had postpartum bleeding, and 3.9% experienced tachysystole. All newborns were healthy, with good APGAR scores. None of the women needed respiratory support or intensive care unit admission. All other maternal or fetal complications were explored. The rate of cesarean section was 3.8 higher in nulliparous than multiparous women and 2.2 times higher in women who did not receive epidural analgesia than in those who did. The risk of cesarean section increased if the time between labor induction and active labor was greater than 12.5 hours. Conclusion: Slow-release dinoprostone insert is safe and effective for the induction of labor in low-risk pregnant women. The risk of cesarean section was elevated in nulliparous patients and those who did not receive epidural analgesia during labor. As the time from labor induction to active labor increased, the risk of cesarean section increased.

Indexed as

DinoprostoneOxytocicsCesarean SectionFemaleHumansInfant, NewbornLabor, InducedPregnancyProspective StudiesDinoprostoneOxytocicsdinoprostoneinductionlaborlow-riskvaginal

Identifiers

PMID35422562
PMCPMC8976886
OpenAlexW4224111012

What OpenQuestion holds

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LicenceCC BY-NC
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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.