OBJECTIVES: This study explores the relationship between red blood cell parameters and perinatal outcomes in dinoprostone insert-induced labor at the Department of Obstetrics and Perinatology of the Jagiellonian University Medical College Cracow, Poland. MATERIAL AND METHODS: Conducted between May 2019 and February 2021, this retrospective analysis included data on maternal age, pre-pregnancy BMI, hemoglobin level, red blood cell count, mean cell volume, and red cell distribution width, alongside newborn birthweight and Apgar scores. The study evaluated the impact of anemia, a hemoglobin level lower than 12 g/dL, on the likelihood of cesarean section, labor duration, delivery time, and neonatal outcomes. RESULTS: With 183 participants, findings indicate no significant difference in perinatal outcomes between anemic and non-anemic groups, suggesting mild anemia may not significantly influence dinoprostone insert-induced labor outcomes. CONCLUSIONS: The study highlights the importance of a nuanced approach to managing anemia in pregnancy, emphasizing the necessity for individualized treatment strategies. Our findings contribute to the ongoing discourse on anemia management during pregnancy, underscoring the need for more targeted research to develop evidence-based guidelines.