How do I use misoprostol to soften my cervix?

Misoprostol tablets, administered orally and vaginally, are used for the induction of labour or cervical ripening, but are not currently approved by Health Canada for this indication. The usual dose is 50 mcg orally or 25 mcg vaginally, which may be repeated every 4 hours if contractions are absent or not painful.

How is Cytotec inserted into the cervix?

The most ideal place is to push the tablets behind the cervix at the top of the vagina. As long as you push them as high in the vagina as you can, they will work. Some women will place all 4 tablets at once.

How long does it take misoprostol to work for induction?

The nine trials that compared oral misoprostol with placebo (1,109 women) and found that oral misoprostol is more effective than placebo for inducing labour. Women in the oral misoprostol group were more likely to have vaginal birth within 24 hours, and less likely to have a caesarean section.

What to expect after inserting misoprostol?

For most people, the cramping and bleeding usually starts 1-4 hours after taking the misoprostol. It’s normal to see large blood clots (up to the size of a lemon) or clumps of tissue when this is happening. It’s kind of like having a really heavy, crampy period, and the process is very similar to an early miscarriage.

How long does the pain last after inserting misoprostol?

For some women, the pain may not be much worse than a heavy period, but for others, it may be unbearable (even after taking the recommended nonsteroidal anti-inflammatory drugs). According to ACOG, “the most severe pain occurs approximately 2.5 – 4 hours after misoprostol use and lasts about 1 hour”.

How long does it take for misoprostol to dissolve vaginally?

Lie down for about 30 minutes after you insert the misoprostol tablets to allow the tablets to dissolve.

How long does it take for misoprostol to dissolve?

Take the 4 misoprostol pills. Put 2 pills on one side of your mouth, and the other 2 on the other side of your mouth. Wait 3 minutes for the pill to dissolve.

How long does the pain last after misoprostol?