Treatment: symptomatic prescribed oxygen if necessary. To stop uterine hyperstimulation and / or fetal distress injected beta2-agonists. In proviron steroid case of failure – fast delivery.
INTERACTION WITH OTHER DRUGS
dinoprostone increases the effects of oxytocin on the uterus, it is not recommended to use the drug in conjunction with oxytocin. Oxytocin may be used only after 6-12 hours after administration dinoprostone.
Only for use in the hospital!
Prior to the appointment of the drug is necessary to evaluate compliance with the size of the fetal head and pelvis woman.
In applying the drug should be taken to prevent the introduction of the gel above the level of the internal os in ekstraamnioticheskoe space proviron steroid (possible uterine hypertonus).
During the use of the drug should be monitored for the ripening process, and cervical dilatation, continuous monitoring of uterine contractile activity and the condition of the fetus. If you have a history of hypertension or tetanic uterine contractions necessary to monitor the contractile activity of the uterus and fetus during the whole period of labor induction. With the development of uterine hypertonus or gain and frequent uterine contractions, as well as changing the fetal heart rate is necessary to carry out activities aimed at ensuring the safety of the fetus and the mother. Be aware of the possibility of uterine rupture.
In women older than 35 years with complications arising during pregnancy, as well as gestational age over 40 weeks, there is an increased risk of postpartum disseminated intravascular coagulation, so the use of dinoprostone in childbirth with caution. It is necessary to immediately after delivery as soon as possible to determine, not whether there is a risk of patients fibrinolysis.
Intracervical administration proviron steroid of dinoprostone gel may lead to iatrogenic rupture of membranes, followed by amniotic fluid embolism.