Prostaglandins

More information Obstetric interventions Induction Augmentation Active management Artificial membrane rupture Fetal monitoring Forceps delivery Ventouse Episiotomy Caesarean section Cascade of Intervention Reference Material A Guide to Effective Care in Pregnancy and Birth Pursuing the Birth Machine Obstetric Myths versus Research Realities Care in Normal Birth The Thinking Woman’s Guide to a Better Birth Other Resources Useful Websites

A hormone, in gel form, applied to the cervix in preparation for an induction.

When is it necessary?

• To help soften the cervix prior to inducing labour before term.
• At term, to initiate labour without using a drip or rupturing the membranes.

How is it done?

• The prostaglandins is applied as a gel in the area around the cervix.
• A repeat dose may be used after 6 hours.
• Not recommended for women with ruptured membranes.

Effects on the mother
Advantages:

1.

May initiate a more physiologic labour than an induction by other means.

Disadvantages:

	1.	May cause severe spontaneous labour if the cervix is already ripe.
	2.	Increased risk of infection.
	3.	Nausea, vomiting and diarrhoea may occur.
	4.	Increased risk of post-partum haemorrhage.

Effect on baby
Advantages:

1.

May initiate a more physiologic and less stressful labour than induction by other means.

Disadvantages:

1.

Increased risk of fetal distress.