Prostaglandin Gel or insert (Cervidil)

Administered vaginally prior to induction of labor

Increases cervical elasticity and softens/ripens cervix.

Requires fetal monitoring for one to two hours after insertion.

Risk for sustained contractions.

Administered orally or vaginally prior to induction of labor.

Assists in cervical ripening

May stimulate contractions and enhance effects of Pitocin if used

Risk for sustained contractions

Requires fetal monitoring

Used for induction of labor or augmentation during labor.

Administered through intravenous pump.

Induces (begins) labor contractions.

Augments (increases) strength and frequency of ongoing labor contractions.

Requires fetal monitoring.

May increase frequency, strength and pain of contractions.