Information About Propess
Hi, my name is Joe Murphy, and I’m one of the induction of labour coordinators at Leeds Teaching Hospitals Trust.
When trying to induce labour, the cervix needs to be open enough to break the waters. This is known as artificial rupture of membranes (ARM). If this is not possible at the start of your induction, one of two methods to help open the cervix can be used.
Propess is one of the methods you can choose. Prostaglandins are naturally occurring hormones released by the body in labour and after a membrane sweep. Propess is a hormonal pessary composed of synthetic prostaglandins. It looks like a small flat tampon and is inserted into the vagina during an examination.
Once in place, Propess sits behind your cervix and gradually releases the prostaglandins that cause the cervix to soften and the uterus to contract. Propess remains in situ for up to 24 hours unless labour starts or any complications arise before this. It is removed in the same way you would take a tampon out, so no discomfort is felt when removing it.
After the Propess is inserted, you will be asked to stay on the bed for half an hour, and then you will be encouraged to mobilize, as this will help stimulate active labour. Sometimes, you may be aware of period-type pains, which feel less intense than contractions. These may build up to labour contractions or fade away as the effects of the prostaglandins wear off.
If you are feeling uncomfortable, let your midwife know to discuss the pain relief options. If you are eligible for outpatient induction, you can go home with Propess and return after 24 hours for re-examination. If your cervix is not dilated enough after the first Propess for your waters to be broken, a second Propess may be offered for up to a further 24 hours.
Further information on Propess can be found in the Induction of Labour patient information leaflet or by asking your midwife or obstetrician.