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Pill vs. gel: which works better for starting labor?

NCT ID NCT04955847

First seen Jun 12, 2026 · Last updated Jun 23, 2026 · Updated 3 times

Summary

This study compared two drugs used to start labor in pregnant women at full term with an unfavorable cervix. One group received oral misoprostol pills, the other received vaginal dinoprostone gel or insert. Researchers tracked how many women delivered vaginally within 24 hours, as well as rates of C-sections and side effects. The trial included 706 women and has already been completed.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Locations

  • CHU Amiens Picardie

    Amiens, France

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

misoprostol (oral) and dinoprostone (vaginal)

What this could lead to

If oral misoprostol proves as safe and effective as vaginal dinoprostone, it could offer a simpler, cheaper option for inducing labor.

What could go wrong

This is a single-center study comparing two time periods, not a randomized trial, so results may be influenced by other changes in care. The findings may not apply to all hospitals or patients.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.