Fertilizers: When should it be used?

Urgency is an intervention aimed at ending a pregnancy through the vaginal passage. Your doctor will do this by using medical procedures or drugs. However, when to take fertility drugs and how they affect the health of mothers and babies is something you should know.

If you have passed the due date, your amniotic fluid has ruptured but your labor contractions do not appear or you have complications that develop towards the end of your pregnancy, your doctor will suggest you to use fertility drugs to promote the process of labor. Some drugs are administered intravenously, while others are inserted into the vagina to dilate and thin the cervix, helping the uterus contract.

Why must use fertility drugs?

Many doctors will recommend inducing methods if:

It's been more than 2 weeks since the due date, but you don't have any signs of labor

The amniotic fluid ruptures, but no contractions occur

You have a number of diseases such as preeclampsia , gestational diabetes

Baby moves little.

Commonly used fertility drugs

1. Pitocin

Pitocin is one of the most commonly used enchantments. Pitocin is another name for oxytocin , a hormone that the body can produce on its own, helping to create contractions. If the body doesn't produce enough hormone oxytocin to initiate labor, Pitocin will help. After the injection, strong contractions will appear. The amount of medication taken will be monitored and controlled by the doctor. Initially the doctor will only inject a small amount but then gradually increase it until strong contractions appear steadily, about 2-3 minutes apart.

Pitocin is for use only when the cervix is ​​open. If your body is ready for labor, the cervix will soften and open. If the cervix is ​​not yet ready, Pitocin will not be used because Pitocin only causes contractions, not much to the cervix.

There are a few risks that you should be aware of when taking Pitocin:

Over-stimulating the uterus

Infection

prolapse

Pregnancy failure

Reduce fetal heart rate

Stillbirth

Be aware of the risks, especially if this is your first time giving birth. Usually, the urge to induce labor starts with the use of cervical dilaters. Once the cervix is ​​ready, the doctor will switch to Pitocin.

When using Pitocin fertility drugs, you must be closely monitored. In addition, you are also not allowed to eat because sometimes you will need an urgent cesarean section. As a result, the muscles contracting due to the drug's effects can make you and your baby tired.

2. Dinoprostone

Dinoprostone, which is prostaglandin in nature, is used to help the cervix dilate, prepare for labor, give birth and be ready for labor. In addition, it also stimulates uterine contractions. Dinoprostone is inserted where the vagina comes in contact with the cervix. Dinoprostone should be used only in a hospital setting with professional doctors and nurses. Usually, it will release prostaglandin within the next 12 hours. Tell your doctor about allergies as well as health problems such as asthma, anemia, epilepsy, heart disease, high or low blood pressure, glaucoma ...

Dinoprostone side effects

Nausea, vomiting, diarrhea, fever, chills, abdominal pain, and dizziness are possible side effects. If these effects become more severe, talk to your doctor.

Some pregnant women will have a fever about 15-45 minutes after the injection. Tell your doctor at once if you have serious side effects such as fainting, contractions too strong and too close together, severe stomach pain.

This fertility drug rarely causes damage to the uterus. Your doctor will follow up if you have signs of over-stimulation of the uterus.

Allergic reactions are very rare. However, if you notice any of these symptoms such as rash, itching, swelling, dizziness, difficulty breathing, tell your doctor right away.

If you use Dinoprostone, you must lie still for about 10 minutes to 2 hours for the medicine to work. The amount of medicine used will vary from person to person.

3. Other prostaglandin inserts and gels

There is another prostaglandin insertion on the market called Prepidil. When this method is used, medicine is inserted into the cervix every six hours until the cervix is ​​soft enough to start labor. In addition, there are other prostaglandin gel-forming drugs that work in the same way.

4. Misoprostol

Misoprostol can be taken orally or placed in the vagina, but it should not be used if you have had a cesarean section in the past as it will increase your risk of having a prolapse. Just like with other medicines, you and your baby will be carefully monitored throughout the medication administration. Important signs such as fetal heart rate and uterine contractions need to be carefully monitored.

Fertilizers can make you feel uncomfortable

Talk to your doctor first if you don't want to take medicine to promote labor. Your doctor can help answer your questions, give you some information about methods of labor, and suggest some alternatives. If you don't have to urgently urinate, your doctor will suggest a number of natural methods to try.