@article {IsdaleA75, author = {M Isdale and J Danson-Smith and J Amu}, title = {PL.74 Induction of Labour with Propess{\textregistered}}, volume = {98}, number = {Suppl 1}, pages = {A75--A75}, year = {2013}, doi = {10.1136/archdischild-2013-303966.256}, publisher = {BMJ Publishing Group}, abstract = {Introduction Propess{\textregistered} is a vaginal delivery system that consists of a non-biodegradable polymeric drug delivery device containing 10 mg dinoprostone (Prostaglandin E2) dispersed throughout its matrix. Introduction in most units as a method of induction of labour is largely due to reported benefits which include effectiveness and better patient experience. Objective To evaluate the use of Propess{\textregistered} for induction of labour and the pregnancy outcome of the recipients. Method A retrospective review of all induction of labour undertaken with Propess{\textregistered} over 4 months. Data was extracted from Euro king database unto excel for analysis. Result 66 patients, with parity not more than 3, were induced with Propess{\textregistered} at term. The commonest indication for induction was post maturity (74\%) however 4 (6\%) high risk patients were induced with Propess{\textregistered}. 93\% of patients who achieved spontaneous vaginal delivery received single dose Propess{\textregistered}. Patients delivered through caesarean section had slightly bigger babies (SVD 3.666 kg: CS 3.713 kg), were more likely to receive additional agents (prostin) to ripen the cervix and syntocinon to augment labour. Overall 55 patients (83\%) achieved vaginal birth (spontaneous and assisted) and 17\% via emergency caesarean section. Conclusion Propess{\textregistered} is a cost effective agent for induction of labour as over 80\% of patients achieved vaginal birth after single dose. However further studies are required to determine choice and/or dosage of additional cervical ripening agents suitable for use when single dose Propess{\textregistered} fails. This will help to reduce the number of caesarean sections performed for {\textquoteleft}failed induction{\textquoteright} after single dose Propess{\textregistered}.}, issn = {1359-2998}, URL = {https://fn.bmj.com/content/98/Suppl_1/A75.2}, eprint = {https://fn.bmj.com/content/98/Suppl_1/A75.2.full.pdf}, journal = {Archives of Disease in Childhood - Fetal and Neonatal Edition} }