December 2015 Moms

Induction Question- Cervidil

I know when you are induced with Pitocin you have to be admitted because it's through an IV, but my question to STM's is about Cervidil. If they used it with you to help try to bring on labor, did they administer it in the OB's office or did you have to go to L&D for it? I plan to ask my OB on Monday, but just wondering about it right now. The things we think about when we can't sleep ;)

Re: Induction Question- Cervidil

  • When I had one with my first child they made me come in the day before to labor and delivery they inserted it and then started the induction the next morning. So basically I spent 3 nights in the hospital instead of two. I think you have to be in hospital for it so they can monitor you they don't let you get up or eat anything for several hours after.
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  • Cervidil is always placed after being admitted to the hospital. Usually you are admitted the night before and cervidil is placed overnight. It can (not to everyone) put you in labor. Basically cervidil is used to ripen and soften the cervix that way when they start pitocin it's not trying to dilate a cervix that isn't ready. I have seen some that need more than one round of cervidil to get optimal results. If you have never seen cervidil, it looks like a flat tampon that is placed up by cervix. They usually won't let you get up for first hour. Then you can get up to use the restroom. There is a string that hangs out so be careful not to pull on it when you wipe. Usually this requires continuous monitoring of baby too. Hope this helps some and your doctor will be the best person to give you details for you and the hospital you are at. Good luck!
  • FWIW semen has the same compounds as cervadil to help ripen the cervix. You could always DTD and go to sleep in the meantime! 
  • When they induced me I went in at 10 Pm and they placed it around 10:30. I got the IV soon after I was admitted. My water broke at midnight so apparent baby didn't need much encouragement and they started pitocin after.
  • FWIW semen has the same compounds as cervadil to help ripen the cervix. You could always DTD and go to sleep in the meantime! 

    This is true, but it isn't in the same concentration (not even by half). The prostaglandins in semen are what ripen it and if your cervic isn't ready to be reactive to those triggers it will not respond to the concentration of prostaglandin in semen to have a physical response (like ripening). Otherwise you'd be unable to have sex at all during pregnancy and sex would be the "sure fire" method to get women into labor when they are overdue or need an induction.

    In regards to OPs question, yes, you do have to be admitted into L&D for the Cervidil. As pp mentioned some women start contracting when that medication is introduced into the vagina/next to the cervix so they need to monitor you. It's not as harsh or as risky as Cytotec (which can actually cause uterine rupture because of the strength of contractions it can trigger) but it still can hyperstimulate your uterus if you're sensitive to it.

    Your doctor will be able to give you the protocol their practice/hospital follows for inductions and the nurse that check you in will go over it again with you before starting anything.
  • CandiMilCandiMil member
    edited November 2015
    With my 1st, I was given cervadil around 1:00pm after being admitted around 12:00 pm with high blood pressure and contractions. The plan was to start pitocin the next morning but by 6:00pm, I had dilated on my own to about a 6, from a finger tip at 12:00, and was at a 10 by 9:30pm. My son was born a little after 10:00 pm.

     

     

    Anniversary

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