You may need help to start childbirth (induce labour). This may be because:
Your doctor will check you and your baby. If inducing labour is an option, the doctor will discuss the ways that are possible for you. Before you are induced, your doctor will answer your questions.
Your labour can be induced by:
A Dinoprostone vaginal insert looks like a very small tampon with a long string. It has medicine on it to help start labour. It is put in a vagina (birth canal) and gives off prostaglandin which is the same hormone that your body makes to start labour. It gets your cervix (bottom of your uterus or womb) ready for labour and may start contractions.
The doctor, nurse, or midwife will talk to you about the reason(s) for your induction of labour and find out if you have any concerns or questions. You will be asked questions about your pregnancy and your health. The doctor, nurse or midwife will:
It takes 30 to 40 minutes for the insert to swell. It may fall out if you stand up too soon, so you’ll need to stay in bed for 1 hour. The nurse will check you often during this hour.
After the first hour, the checks may stop. You may walk around. Your doctor may let you go home. You may be asked to stay longer if your doctor wants you and your baby to be checked often. If you are able to go home, you will be told when you need to come back.
If your labour doesn’t start after 24 hours, the insert needs to come out. If you’re asked to take it out yourself, you will be told how to remove it.
If your labour starts, the insert also needs to be removed. If you‘re asked to take it out yourself, you will be told how to remove it. If you were not told to remove it, the insert will be taken out at the hospital.
At first, you may have some cramping, backache or a warm feeling in your vagina. It usually takes a few hours before you feel contractions.
Nausea, vomiting and diarrhea may happen, but this is not common. Sometimes strong and long contractions can happen. If this happens to you, come back to the hospital. You might need medicine to relax the uterus.
You can do your normal activities (e.g., eat, shower, walk). If you are have a midwife, phone her when you get home.
You must follow the directions you get from your doctor or hospital. You may be told to call the doctor or hospital or come back to the hospital after a certain number of hours.
If your labour has not started, the doctor may suggest:
If you have concerns, call your doctor, midwife, or the Labour and Delivery Unit at your hospital.
Current as of: December 10, 2019
Author: Maternal, Newborn, Child and Youth Strategic Clinical Network, Alberta Health Services
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