Induction Methods – Prostaglandin Gels

A synthetic version of prostaglandin hormones is inserted into your vagina either as tablets, gels, suppositories or pessaries.

You will need to remain in hospital for this and once inserted it is recommended that you lie down for at least 30 minutes so the gel can stimulate the cervix.

The dose, number of doses and time between doses may vary considerably. If repeat doses are necessary this is usually given every six to eight hours. The suppository slowly releases the prostaglandins over 12 to 24 hours.

The prostaglandins allow your cervix to soften and open, however it may not be enough to get your contractions going on their own, in which case you will need extra help usually with the synthetic oxytocin drug (Syntocinon or Pitocin).

If you have had a previous caesarean birth, it is contraindicated for you to have prostaglandins and a balloon catheter will be used instead.

Prostaglandin Benefits

• Vaginal prostaglandins increase the likelihood of vaginal birth within 24 hours;

 

Prostaglandin Risks

• Overstimulation of the uterus to contract too much;
• May cause baby’s heart rate to slow or become abnormal;
• You may experience back and / or stomach pain;
• You may experience a sore / sensitive vagina;
• You may feel heat in the vagina;
• Nausea and / or vomiting;
• Diarrhea;

 

Prostaglandin Severe Risks

• Rash or hives;
• Breathing difficulty;
• Tightness in chest;
• Swelling of mouth, face, lips or tongue;

 

Here are the RANZCOG Guidelines for a medical induction of labour in Australia and New Zealand.

Induction-labour-pamphlet

 

OTHER INDUCTION METHODS

Stretch & Sweep – CLICK HERE

Balloon Catheter (Foley’s or Cook’s) – CLICK HERE

Artificial Rupture of Membranes (AROM) – CLICK HERE

Synthetic Oxytocin (Syntocinon) – CLICK HERE