Induction of labour pessary

A clinician places the pessary in the vagina, usually near the cervix, and checks you and your baby before and after placement. The medicine gradually helps the cervix become softer and thinner, which may allow it to open. Cramping, contractions, backache or vaginal discharge can occur. The pessary can usually be removed if contractions become too frequent, the baby's monitoring changes or another concern develops. It may not be suitable in every pregnancy, including some situations involving a previous caesarean birth. Induction of Labour gives broader context.

Wear comfortable clothing and follow the hospital's instructions about food, drink and arrival. Tell staff about allergies, previous caesarean birth, bleeding, leaking fluid or contractions before the pessary is inserted. Remain where monitoring is available for the period advised by your team. Do not insert medicines or products yourself. If the cervix becomes ready but contractions do not start, the next step might be breaking the waters or using Oxytocin, depending on your assessment.

Tell the maternity team immediately about heavy bleeding, severe or constant pain, very frequent contractions, leaking fluid, fever, feeling faint or reduced baby movements. After going home, use the contact number provided by your unit if symptoms appear or you are unsure whether the pessary has come out. Seek urgent assessment if your waters break or labour becomes rapid.

Ask why a pessary is recommended, how long it will remain in place, what monitoring you need, what discomfort is expected and what happens if it does not soften the cervix. Ask whether a membrane sweep or another method would be appropriate for you.