PROPESS should not be used or left in place: When labour has started.
When oxytocic drugs and/or other labour induction agents are being given.
When strong prolonged uterine contractions would be inappropriate such as in patients: who have had previous major uterine surgery, e.g. caesarean section, myomectomy etc. (see Precautions and Adverse Reactions); with cephalopelvic disproportion; with fetal malpresentation; with suspicion or evidence of fetal distress; who have had previous major surgery (e.g. other than biopsies and cervical abrasion) or rupture of the uterine cervix.
When there is current pelvic inflammatory disease, unless adequate prior treatment has been instituted.
When there is hypersensitivity to dinoprostone or to any of the excipients listed in Description.
When there is placenta previa or unexplained vaginal bleeding during the current pregnancy.