Instructions for Use: Insertion: 1) Holding the pessary between the fingers of the examining hand, insert PROPESS high into the posterior vaginal fornix using only small amounts of water soluble lubricants.
2) To ensure that the pessary remains in situ, it should be turned through 90° so that it lies transversely in the posterior fornix.
3) Allow sufficient tape to remain outside the vagina to permit retrieval.
4) After insertion, ensure that the patient remains recumbent for 20 to 30 minutes.
Retrieval Instructions: 1) PROPESS is removed quickly and easily by gentle traction on the retrieval tape.
2) PROPESS should be removed immediately in the following circumstances: a) At the onset of labour.
b) Spontaneous rupture of the membranes and at artificial rupture of the membranes.
c) Any suggestion of uterine hyperstimulation or hypertonic uterine contractions.
d) Evidence of fetal distress.
e) Evidence of maternal systemic adverse dinoprostone effects such as nausea, vomiting, hypotension or tachycardia.
f) At least 30 minutes prior to starting an intravenous infusion of oxytocin.
Special Precautions for Disposal: PROPESS should be removed from the freezer in direct connection with the insertion.
After usage, the whole product should be disposed of as clinical waste.
Incompatibilities: Not applicable.