Dinoprostone Prostaglandin Typically Explained for Students (Easy Guide)

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Dinoprostone is a prostaglandin typically administered vaginally that softens/ripens the cervix by relaxing cervical smooth muscle, promoting dilation and effacement. Dinoprostone also induces uterine contractions. Clients at 39-40 weeks gestation (i.e., term) experiencing ineffective cervical dilation (e.g., 1 centimeter dilated), inadequate (intermittent/irregular) or lack of contractions, and no contraindications are candidates for dinoprostone [Choice 2]. Dinoprostone is avoided in clients with contraindications for spontaneous labor or vaginal delivery (e.g., placenta previa, breech) and administration of uterine stimulants (e.g., previous cesarean section). Incorrect: 36.6 weeks, fetal weight 4,000 g (8 lb 13 oz) Preterm clients (20-36 weeks) should not be induced as fetal organ systems are immature. In addition, macrosomia (fetal weight ≥4,000 g) increases the risk for cephalopelvic disproportion (CPD) (i.e., fetal head too large for maternal pelvis), a contraindication for labor induction. 38.1 weeks, BPP score of 2 A BPP assesses fetal well-being. A score ≤2 suggests chronic asphyxia, likely requiring cesarean delivery. Dinoprostone is contraindicated when fetal distress is present as labor can cause further distress. 37 weeks, contractions, 2 centimeters dilated, history cesarean section Clients can attempt vaginal delivery following previous cesarean section; however, uterine stimulants are contraindicated as the overstimulating weakened uterine muscle and s

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