Propess Pessaries belongs to the class of medication called 'oxytocic' or 'uterotonic', primarily used for the initiation or improvement of uterine contraction (antepartum) and producing uterine contraction during the third stage of labour (postpartum). Labour induction stimulates uterine (womb) contractions during pregnancy before labour pain begins to achieve a vaginal birth. It is recommended by the doctor for labour induction for various reasons, especially when there is a concern for a mother's health or a baby's health.

Propess Pessaries contains a prostaglandin Dinoprostone that stimulates uterine muscles and increases the uterus' contractions. It works by increasing the production of a natural substance called prostaglandins (PGs) that softens and widens the cervix (opening of the womb) so that the baby comes out easily. Also, it increases uterus contractions and hence induces labour. As a result, these increased uterine contractions help deliver the child.

Propess Pessaries is not intended for self-application as it is typically used in hospital settings under the supervision of medical healthcare professionals. After taking the medication, you may be asked to lie down for at least 30 minutes. You may experience certain common side effects such as back pain, vomiting, diarrhoea, flushing of the skin, and fetal distress in some cases. Most of these side effects do not require medical attention and will resolve gradually. However, you are advised to talk to your doctor if you experience these side effects persistently.

Do not use Propess Pessaries if you are allergic to Propess Pessaries or its ingredients. Be sure your doctor knows your entire pregnancy history, especially if you have ever had a C-section or major surgery on your uterus, if you have had a baby born in a breech position, or if you have had a difficult labour or delivery of a previous child. Also, mention all the other medications you are taking that affect how Propess Pessaries works. A Propess Pessaries should not be used for a prolonged time if the contractions do not increase or have severe pre-eclamptic toxaemia (high blood pressure, protein in the urine, and swelling) or blood or heart circulation problems. A professional should always administer Propess Pessaries at a hospital and not practice self-administration.

Propess Pessaries contains a prostaglandin 'Dinoprostone' primarily used in inducing labour. It plays a major role in childbirth as it softens and widens the cervix (opening of the womb) so that the baby comes out easily. Also, it increases prostaglandin production, which further increases uterus contractions and hence induces labour. As a result, these increased uterine contractions help deliver the child.

• Vomiting
• Diarrhoea
• Back pain
• Fetal distress
• Flushing of the skin

Do not take Propess Pessaries if you are allergic to Propess Pessaries or its ingredients. Be sure your doctor knows your entire pregnancy history, especially if you have ever had a C-section or major surgery on your uterus, if you have had a baby born in a breech position, or if you have had a difficult labour or delivery of a previous child. Increasing the dose of Propess Pessaries can be harmful if your womb already has too strong contractions, any obstructions in the pathway that might prevent the delivery or if the baby is not receiving a sufficient oxygen supply. Also, the use of Propess Pessaries is not advisable if the baby is wrongly positioned in the birth canal, the baby’s head is too large to fit through the pelvis, the placenta lies near the neck of the womb, the placenta separates from the womb before birth, the womb is over-extended and likely to tear (in case you are carrying more than one baby). A Propess Pessaries should not be used for a prolonged time if the contractions do not increase or have severe pre-eclamptic toxaemia (high blood pressure, protein in the urine, and swelling) or blood or heart circulation problems. A professional should always administer Propess Pessaries at a hospital and not practice self-administration.

Drug-Drug Interaction: Propess Pessaries is known to interact with other oxytocic medicines (oxytocin, methylergonovine, ergonovine, carbetocin).

Drug-Food Interaction: Propess Pessaries is known to interact with alcohol. So, do not consume alcohol while using Propess Pessaries.

Drug-Disease Interaction: Propess Pessaries should not be given to the patients with previous cesarean section, heart, lung, kidney or liver disease, glaucoma (increased pressure in the eye), epilepsy, genital herpes, suffered from asthma, hypertension (high blood pressure), if you are more than 40 weeks pregnant or are more than 35 years, the pelvis is too small for normal delivery.

• OXYTOCIN
• METHYLERGONOVINE
• ERGONOVINE
• MISOPROSTOL

• Long walks can help relieve stress, keep your body strong, and help with easy delivery.
• Please take a little bit of Castrol oil. It stimulates prostaglandin, which ripens the cervix and initiates labour.
• For some foods like dates, raspberry tea leaves are known to ripen the cervix and get labour started.
• Acupressure also stimulates labour and helps in delivery.

• Your and baby's heart rate should be constantly monitored while using Propess Pessaries to avoid any complications.
• Propess Pessaries is given for induction of labour or stimulation of labour; it must be given under medical supervision in a hospital. The doctor will advise lying down for 30 minutes after using Propess Pessaries.
• If you have genital herpes infection, do not use Propess Pessaries.

Labour induction: When artificial oxytocin is induced to stimulate the uterus to contract, it is known as labour induction. There are various reasons for labour induction, like miscarriage if pregnancy lasts longer than 42 weeks, a cesarean section or if your water breaks out. Induction of labour is planned in advance, and your doctor will discuss all the advantages and disadvantages with you priorly.