According perinatal surveys, induction of labor is performed at more than 20% of pregnant
According to a survey on the trigger practices in France, prostaglandins are widely used to
initiate cervical ripening, usually by laying intravaginal dinoprostone (Propess®).
The overall work-up rate due to the use of a single Propess® is 74.6% with 80% of vaginal
Currently, 25.4% of patients who was not put in work after 24 hours are triggered by oxytocin
(Syntocinon®) or directly caesarean. The initial installation of intravaginal dinoprostone
limits the use of oxytocin (Syntocinon®) or in lower doses.
Using a second Propess® is carried out in several maternity hospitals, as reported by the
survey on the cervical ripening practices in France. This second administration could be the
solution to reduce the rate of caesarean in France which amounted to 20.8%.