What maternal side effect can occur with dinoprostone?

Dinoprostone is a prostaglandin E2 that is commonly used for cervical ripening and induction of labor. One of the maternal side effects associated with its use is fever. The mechanism behind this side effect is related to the prostaglandin's effects on the body’s thermoregulatory set point, which can lead to an increased body temperature following administration.

Fever as a side effect is significant in clinical practice, as it may indicate an inflammatory response that can sometimes occur with the use of prostaglandins. Monitoring maternal temperature is important during labor to distinguish between a benign increase and potential signs of infection.

The other options presented do not typically arise from dinoprostone use. Acute hypertension might occur with certain medications but is not a known side effect of dinoprostone. Flushing can be associated with some medications but is not a common side effect of dinoprostone. Muscular paralysis is not related to its pharmacological action. Therefore, the occurrence of fever is the most relevant and recognized side effect for dinoprostone injection or insertion.