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About Propess Pessaries
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 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 over time. 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 to 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, do not practice self-administration.
Uses of Propess Pessaries
Directions for Use
Medicinal Benefits
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 baby comes out easily. Also, it increases prostaglandins production, which further increases uterus contractions and hence induces labour. As a result, these increased uterine contractions help deliver the child.
Storage
Drug Warnings
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, do not practice self-administration.
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Habit Forming
Therapeutic Class
Propess Pessaries contains a prostaglandin Dinoprostene that works by increasing the production of a natural substance called prostaglandins (PGs), which softens and widens the cervix (opening of the womb) and increases uterus contractions. As a result, these increased uterine contractions and widened cervix help deliver the child.
Propess Pessaries is given as a suppository or a gel applied at a hospital only under strict medical supervision. The dose to be administered will be decided by your doctor, depending on your current medical situation.
The most common side effects of Propess Pessaries include vomiting, back pain, diarrhoea, flushing of the skin, and fetal distress. You might also feel increased uterine contractions for some time, but these are manageable under medical supervision.
If you have a previous premature delivery or a c-section, or cervical surgery, please inform your doctor before starting Propess Pessaries. Also, mention a detailed medical history to your doctor to avoid complications.
No, Propess Pessaries should be taken in the dose and duration as advised by the doctor. If you take it in more than the recommended dose, it might cause unpleasant side effects like fetal distress or delivery complications.
It is advised to use Propess Pessaries only if prescribed by a doctor as there are chances of increased complications in women aged 35 and above and if you smoke.
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Special Advise
Disease/Condition Glossary
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.
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