For the first two 2 hours following insertion, you should remain lying down. If you sit up or walk after the first two hours, you should be careful to ensure the insert remains in place. The risk is higher in women over age 30, those with complications during pregnancy, and those whose pregnancy has lasted longer than 40 weeks. As you would throughout your pregnancy, be sure to tell your doctor about all prescription or over-the-counter medications you are taking.
The most common side effects associated with the administration of CERVIDIL are contractions occurring at a rate faster than normal tachysystole and signs that the baby is exhausted or in distress uterine hyperstimulation. Visit www. Please see full Prescribing Information. Accessed August 17, The American College of Obstetricians and Gynecologists. Published Accessed March 5, About Cervidil. Schedule time to talk with my OB or Midwife. Take the challenge! True False. Use of dinoprostone may result in inadvertent disruption and subsequent embolization of antigenic tissue causing, in rare circumstances, the development of Anaphylactoid Syndrome of Pregnancy Amniotic Fluid Embolism.
CERVIDIL must be removed before oxytocin administration is initiated and a dosing interval of at least 30 minutes is recommended for the sequential use of oxytocin. Uterine activity, fetal status, and the progression of cervical dilatation and effacement should be carefully monitored whenever the CERVIDIL vaginal insert is in place.
With any evidence of uterine hyperstimulation, sustained uterine contractions, fetal distress, or other fetal or maternal adverse reactions, the vaginal insert should be removed.
Caution should be exercised in the administration of CERVIDIL for cervical ripening in patients with ruptured membranes, in cases of non-vertex or non-singleton presentation, and in patients with a history of previous uterine hypertony, glaucoma, or a history of childhood asthma, even though there have been no asthma attacks in adulthood.
Pregnancy Category C: Prostaglandin E2 has produced an increase in skeletal anomalies in rats and rabbits.
Prostaglandin E2 has been shown to be embryotoxic in rats and rabbits, and any dose that produces sustained increased uterine tone could put the embryo or fetus at risk. Although safety and efficacy has not been established in pediatric patients, safety and efficacy are expected to be the same for adolescents.
The medication works to ripen the cervix and start labor contractions so your baby can exit your uterus and descend into the birth canal. Generally, Cervidil is given to prep the cervix by softening it, not to induce labor directly.
Some women may experience cramping or mild contractions as it works though. Cervidil is designed to release medication over a hour period. Continuous monitoring of both you and your baby is important throughout this process. In fact, your side effects may actually subside as your body becomes accustomed to the medication. Cervidil may cause mild contractions, but its main purpose is to help the cervix to soften and open. Your doctor may also break your water to speed labor, a process called an artificial rupture of the membranes.
This releases prostaglandins in the body to dilate the cervix. Pitocin is a synthetic form of the hormone oxytocin. This hormone has two main functions: to help with breastfeeding after delivery and to stimulate the uterus and trigger contractions during labor.
So, think of Pitocin as an ace in the hole, drug-wise, for inducing labor — and some women may need this added boost after a course of Cervidil. What to Expect follows strict reporting guidelines and uses only credible sources, such as peer-reviewed studies, academic research institutions and highly respected health organizations. Learn how we keep our content accurate and up-to-date by reading our medical review and editorial policy.
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