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Nimra Zulfiqar: RCT Finds Dinoprostone–Laminaria Combination Reduces Cesarean Deliveries During Labor Induction
Nimra Zulfiqar/LinkedIn
Jul 10, 2026, 13:10

Nimra Zulfiqar: RCT Finds Dinoprostone–Laminaria Combination Reduces Cesarean Deliveries During Labor Induction

Nimra Zulfiqar, Specialist Gynaecologist at Al-Ahli Hospital, shared a post on LinkedIn:

“New publication:

Rethinking cervical ripening for safer inductions

Proud to share our RCT published in International Journal of Pharmacy Research and Technology.

For women with a poor Bishop score, induction can mean longer labor, more C-sections, and higher risk. We tested if combining methods could change that.

Dinoprostone + Laminaria vs Dinoprostone alone. N=146

The results were clear:

  • 35% fewer C-sections: 15.1% vs 30.1%
  • 22% more vaginal deliveries: 84.9% vs 69.9%
  • 3.5 hours faster from induction to delivery
  • Significantly better cervical ripening with no increase in maternal or neonatal complications

Takeaway: A simple combination of mechanical + pharmacological ripening can make induction safer, faster, and more successful for women with unfavorable cervices.

This work was done at PIMS Hospital, Islamabad with an incredible team

Hoping these findings help refine IOL protocols and improve outcomes where it matters most — at the bedside.

Full paper: IJPRT Vol 16, Issue 1, 2026.”

Proceed to the video attached to the post.

Stay updated on all scientific advances in the field of fertility with Fertility News.

C-sections cervical ripening cesarean deliveries Dinoprostone Dinoprostone–Laminaria International Journal of Pharmacy Research and Technology Labor Induction Laminaria maternal complications neonatal complications Nimra Zulfiqar vaginal deliveries
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