[''Prepidil versus Propess'': pharmacological induction of labour with dinoprostone].
OBJECTIVE
The aim of the study was to evaluate the effectiveness and safety of the two different pharmaceutical preparations of dinoprostone: ''Prepidil vs Propess'', in patients with medical and/or obstetrical indications to pharmaceutical induction of labour.


METHODS
A retrospective analysis was carried out on 144 patients (82 with Propess vs 62 with Prepidil).


METHODS
post-term pregnancy, premature rupture of membranes (PROM), gestational diabetes, gestational-chronic hypertension, intrauterine growth restriction (IUGR),others (fetal macrosomia, oligohydramnios).


RESULTS
The groups were homogenous regarding: age, parity, weeks of amenorrhea, Bishop score and indication to induction. Both pharmaceutical preparations of dinoprostone (Prepidil vs Propess) are effective and safe; there are some differences not statistically significant (P>0.01) regarding the percentage of spontaneous deliveries: 61.5% vs 63%, interval from induction to delivery 24.53 vs 20.45 h, number of inductions 1.35 vs 1.15 and neonatal outcome (Apgar scores at 1 and 5 min). A case of serious hyperstimulation with hysterectomy post-delivery after induction with Prepidi was observed.


CONCLUSIONS
A greater use of Propess, especially in patients with PROM, is suggested; Propess has determined a higher percentage of spontaneous deliveries, a shorter interval from induction to delivery and less risks for the mother. It is in fact possible to remove the device easily and safely in case of complication.
Arduini
M
M
Scuola di Specializzazione in Ginecologia e Ostetricia, Dipartimento di Specialità Medico Chirurgiche e Salute Pubblica, Università degli Studi di Perugia, Perugia, Italia. maoard@libero.it
Giri
C
C
Giannone
L
L
Giannone
E
E
D000328:Adult; D015232:Dinoprostone / Q000008:administration & dosage / Q000494:pharmacology*; D005260:Female; D005322:Premature Rupture of Fetal Membranes; D006801:Humans; D007751:Labor, Induced; D010120:Oxytocics / Q000008:administration & dosage / Q000494:pharmacology*; D011247:Pregnancy
D010120:Oxytocics; D015232:Dinoprostone