Information about Dilapan
Hi, my name is Rebecca Gray and I’m one of the Induction of Labour coordinators at the Leeds Teaching Hospitals Trust.
When labour is induced, the cervix needs to be open enough to break your waters. This is known as artificial rupture of membranes or an ARM. If this is not possible at the start of your induction, then one of two methods to help open your cervix can be used.
Dialopan is one of the methods you can choose. Dialopan is a non-hormonal mechanical dilator. It is a very thin cervical insert that absorbs fluid from the cervix. Usually, four to five tubes are placed inside the cervix for induction. This can be done during a speculum examination or a general examination.
The Dialopan absorbs fluid, which causes the tubes to expand gradually and dilate the cervix as a result. The Dialopan is left in for 12 hours, after which time it is removed and a repeat vaginal examination is performed to see if the cervix is now open enough for your waters to be broken.
The insertion of Dialopan takes around five to ten minutes and can be a little uncomfortable. Minor bleeding can occur after insertion, but this is not a concern for either you or your baby.
Once the Dialopan has been inserted, you can move around as normal; however, it is not recommended that you have a bath. While the Dialopan is in place, most women are not aware of it. It does not cause contractions, as it is non-hormonal, so no abdominal pain or discomfort will be experienced during this part of the induction pathway.
As Dialopan does not usually cause contractions, it may be recommended for cervical ripening if you have had a caesarean section before or if the induction is being recommended due to concerns regarding your baby’s growth.
More information about induction of labor can be found in the other bite-sized videos in the patient information leaflet or by asking your midwife or obstetrician.