When preparing the cervix for delivery, there is only one recommended dosage of Cervidil. A healthcare provider will place one Cervidil vaginal insert high in the vagina, near the cervix. This insert releases about 0.3 mg of dinoprostone each hour. It is usually removed after 12 hours, or when active labor begins.
There is only one standard recommended dose of Cervidil® (dinoprostone vaginal insert). As is always the case, do not adjust your dosage unless your healthcare provider specifically tells you to do so.
The recommended Cervidil dose for preparing the cervix for labor and delivery is one vaginal insert, placed into the vagina one time only. The vaginal insert will release about 0.3 mg of dinoprostone (the active ingredient of Cervidil) each hour, for 12 hours.
After the vaginal insert is placed, a tape attached to the insert will hang outside the vagina, much like a tampon string. This allows your healthcare provider to easily remove the insert when it is no longer needed.
You and your unborn baby will be carefully monitored while Cervidil is in place. Your healthcare provider will decide when to remove the medication. It is generally removed after 12 hours, or if active labor occurs. Your healthcare provider may also remove the medication in the following situations:
- Contractions are abnormally strong, long, or frequent
- Before an amniotomy (artificial rupture of the amniotic sac to induce labor), commonly known as "breaking the water"
- There are signs of problems in the mother or baby
- You are experiencing unwanted side effects.
Some considerations to keep in mind during treatment with Cervidil include the following:
- This medication comes in the form of a vaginal insert. It is inserted high into the vagina, near the cervix.
- Cervidil should only be inserted by a trained medical provider in a hospital setting. Your healthcare provider will remove the insert when it is no longer needed.
- You will be lying down when the medication is inserted. You will need to remain lying down for at least two hours to make sure the insert stays in place.
- Cervidil comes in an individually sealed foil pouch. The medication must be inserted immediately after removal from the pouch. The pouch should not be opened with scissors or sharp objects, as this could potentially damage the medication.
- For the medication to work properly, it must be used as prescribed.
- If you are unsure about anything related to your dosage or Cervidil dosing in general, please talk with your healthcare provider or pharmacist.