Insertion of vaginal prostaglandin E2

Insertion of vaginal prostaglandin E2

Sheet shows markings for sterile gloves, Prostin®- prescribed dose of gel, vaginal tablet or Propess® and pinnards stethoscope/hand held sonicaid/CTG, and photograph shows gloves on piece of paper on top of table.

Approximately 1 in 5 labours are induced in the UK. Induction of labour can be a very frightening time for women and partner. The midwife is well placed to ensure that women receive evidence-based information to help them reach an informed choice about their care.

Currently, in the UK the most common method of induction utilises synthetic forms of prostaglandin, Prostin®. These come in the form of gels, tablets or 24-hour release formulations. For greatest efficacy these should be administered at regular intervals to maintain a therapeutic range of the drug within the system. Gels and tablets are commonly prescribed for administration at 6-hourly intervals with a maximum of three doses in 24 hours. There are many factors that can impact on the midwife’s ability to adhere to this regimen. Capacity and staffing often delay or impede on the induction process. The single-dose Propess® delivers 0.3 mg per hour over the 24-hour period.

As with all medications it is vital that the midwife is aware of common side effects, indications and contraindications for administration of prostaglandin preparations (Boxes 55.1 and 55.2). The midwife must also ensure that the drug has been prescribed, checked and dispensed correctly.

Procedure for insertion of prostaglandin gels, tablets, Propess

Jun 19, 2019 | Posted by in MIDWIFERY | Comments Off on Insertion of vaginal prostaglandin E2

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