Cervidil Dinoprostone 30 Insert ER, 10 mg Overview: This medication is used to help prepare your cervix (the lower opening of the womb) for labor and delivery. It is used in women who are having a normal pregnancy and who are at or near their delivery due date. Dinoprostone is a natural substance that your body makes in preparation for labor. It relaxes and softens your cervix (cervical ripening) to allow the baby to pass through the birth canal during delivery.
How to use: This drug is inserted high in your vagina next to the cervix by a health care professional. You will be lying down while the medication is placed, and you will usually need to continue lying down for 2 hours after insertion. The health care professional will tell you when you can get up and walk around. This medication should only be used in a hospital setting with trained medical care available. You will be monitored for changes in your cervix, for signs of active labor (e.g., water breaking, strong sustained contractions), and for your baby’s condition. The health care professional will remove the insert if there are side effects, after 12 hours, or when it is no longer needed. The drug’s effects wear off quickly after the insert is removed.
Side effects: Side effects such as fever, nausea, vomiting, diarrhea or abdominal pain are uncommon and usually mild. If these persist or worsen, notify your doctor or midwife right away. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Tell your doctor right away if this uncommon but serious side effect occurs: strong contractions that are very close together (uterine overstimulation). This drug has rarely caused injury to the womb (uterine rupture), which may require emergency surgery. Symptoms include severe pain in your womb and an abnormal heart rate in your baby. Your doctor or midwife will be monitoring for this and for signs of uterine overstimulation. A very serious allergic reaction to this drug is unlikely, but immediate medical attention is required if it occurs. Symptoms of a serious allergic reaction may include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.