The doctor, nurse, or midwife will talk to you about the reasons for getting the dinoprostone vaginal insert and will ask if you have any concerns or questions. You will be asked questions about your pregnancy and your health. The doctor, nurse, or midwife will:
After the insert has been put in, your doctor, nurse, or midwife will monitor you for at least 1 hour. After that, you may be able to go home or you may be asked to stay longer. If you are able to go home, you will be told when you need to come back.
When the insert is first put in, you may have some cramping, a 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.
Your doctor, nurse, or midwife will remove the insert after 12 hours, or when it is no longer needed. They may leave it in for up to 24 hours.
If your labour starts, the insert may need to be removed once your labour progresses.
If your labour doesn't start and you're asked to take the insert out yourself, you will be told how to remove it. If you were not told to remove the insert, it will be taken out at the hospital.
If your labour has not started, your doctor or midwife will reassess you and talk with you about what to do next.
You can do your normal activities, like eating, showering, or walking. If you have a midwife, call them when you get home from the hospital.
Follow the directions you get from your doctor or hospital about when to call or when to come back to the hospital. You may be told to call or come back after a certain number of hours.
Things to watch for at home
Pull out the insert and come to the hospital or call your midwife right away if you have:
Come to the hospital or call your midwife right away if you:
If you have concerns, call your hospital or midwife, or go back to the hospital.
Current as of: June 5, 2023
Author: Maternal, Newborn, Child and Youth Strategic Clinical Network, Alberta Health Services
This material is not a substitute for the advice of a qualified health professional. This material is intended for general information only and is provided on an "as is", "where is" basis. Although reasonable efforts were made to confirm the accuracy of the information, Alberta Health Services does not make any representation or warranty, express, implied or statutory, as to the accuracy, reliability, completeness, applicability or fitness for a particular purpose of such information. Alberta Health Services expressly disclaims all liability for the use of these materials, and for any claims, actions, demands or suits arising from such use.