The　aim　of　this　study　is　to　evaluate　the　efficiency　of　dinoprostone　insert,　compared　with　dinoprostone　gel,　for　cervical　ripening　and　induction　of　labor　in　women　at　term.　We　searched　electronic　databases　and　bibliographies　of　relevant　papers　to　identify　randomized　controlled　trials　(RCTs)　reporting　dinoprostone　insert　and　gel　used　for　cervical　ripening　and　induction　of　labor.　Fifteen　RCTs　involving　1779　women　were　included.　Dinoprostone　insert　could　greatly　contribute　to　vaginal　delivery　(VD)　within　24　h　compared　with　dinoprostone　gel　(OR　=　2.35,　95%　CI　=　1.34,　4.13)　and　the　researchers　found　obvious　statistically　significant　difference　(p　=　0.003).　Yet　a　meta-analysis　of　the　rates　of　VD,　artificial　assisted　vaginal　delivery　and　caesarean　section　(CS)　revealed　no　margin　between　dinoprostone　insert　and　gel.　Dinoprostone　insert　showed　a　distinct　superiority　in　terms　of　VD　within　24　h　and　had　an　advantage　of　a　shorter　hospital　stay　and　less　postpartum　hemorrhage　in　contrast　to　gel.　Even　though　the　insert　did　not　perform　much　better　than　gel　in　decreasing　the　rate　of　CS　and　increasing　the　rate　of　VD,　yet　the　superior　benefit　of　the　vaginal　insert　compared　to　gel　was　still　not　difficult　to　observe.