How fast does the gel work when being induced?

Cervical Ripening If prostaglandin gel is used, you may need one or more doses which may be given every six to eight hours. The suppository slowly releases the prostaglandin over 12 to 24 hours. It’s estimated prostaglandins work for about 90% of women.

Does prostin induce labour?

Prostin tablets have been used in this Trust for many years to induce labour. A midwife inserts Prostin tablets behind the cervix during an internal examination every 6 hours until labour starts. The main advantage of Propess is that you will have less vaginal (internal) examinations, minimising discomfort.

How effective is gel for induction?

Some women may spontaneously break their waters and proceed to get into labour. This is great and we will continue to monitor you and your baby, making sure you are both fine. Less than 0.5% of women respond to the Prostaglandin gel very strongly and have contractions that occur too frequently.

Is prostaglandin gel painful?

Risks: Some women find their vagina is sore after the prostaglandin gel, or they might experience nausea, vomiting or diarrhoea. These side effects are rare and there is no evidence that induction using prostaglandin is any more painful than a natural labour.

What happens after induction gel?

Prostaglandin gel The contractions should begin slowly, and you may be able to go back home for a few hours after the gel has been put in place. In some women, prostaglandin gel alone can be enough to stimulate the cervix to open. In other women, a drug called oxytocin must be added to get the contractions started.

What happens if prostin gel doesn’t work?

If a membrane sweep doesn’t work, you’ll be offered prostaglandin. This is a hormone-like substance that encourages your cervix to ripen, hopefully setting off contractions. You may have prostaglandin in the form of a slow-release pessary, called Propess, like the one pictured.

What do I do after prostin gel?

After being given the gel, you will remain in bed for at least an hour with a repeat “CTG” performed for 30 minutes. After this, you will return to the antenatal ward to await the onset of contractions. You are encouraged to mobilise, eat and drink as normal.

How many cm dilated before they break your water?

If your cervix has opened up to at least 2-3 centimetres dilated and the baby’s head is well engaged (low down in your pelvis), your waters will be broken (see below under Artifical Rupture of Membranes). If it is not possible to break your waters a second Propess pessary may be inserted if appropriate.

What happens after gel induction?

Once the prostaglandin gel has been inserted you will be advised to stay in bed for approximately 30minutes so that the gel is absorbed. Afterwards, your baby’s heart beat will be monitored on a machine. You may notice some tightenings following the insertion of the prostin.