Induction of labour
Pain management

Pain and discomfort during mechanical induction: what to expect and how to prepare

August 27, 2025
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Contributors
Veronika Dobiasova, MD
Physician and International Product Manager

Veronika Dobiasova, MD is a physician specializing in obstetrics, gynaecology, and labour induction. She works closely with clinical experts to translate medical evidence into clear, practical information for healthcare professionals and expectant parents.

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Jan Waclav, MD
Clinical & Medical Affairs Director

Physician and Clinical & Medical Affairs Director with 30+ years of experience in clinical research, medical affairs, and evidence-based healthcare. Jan is certified in Anesthesia and Intensive Care Medicine and has held senior medical leadership roles at MEDICEM Technology, SOTIO, GlaxoSmithKline, and AstraZeneca.

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Key takeaways

DILAPAN-S is a non-hormonal mechanical method used to prepare the cervix for labour. Insertion may cause brief discomfort or pain, but this usually settles within a few minutes. During cervical ripening, many women can stay mobile, rest and continue their usual activities.

  • DILAPAN-S insertion usually takes only a few minutes, with sensations often described as period-like cramps, pressure or tightness.
  • After insertion, the cervical ripening process usually takes around 12–24 hours.
  • Breathing, gentle movement, relaxation and creating a comfortable environment may help manage discomfort.
  • Significant or increasing pain, bleeding or fever should always be discussed with the healthcare team.

Bringing your baby into the world is a deeply personal experience – and if labour needs a gentle nudge to get started, it’s completely okay to feel a mix of curiosity, nerves, and questions. One option your care team may suggest is mechanical induction, a hormone-free way to prepare your cervix for labour. Let’s talk honestly about what it involves, what it might feel like, and how to prepare for the sensations that can come with it – including a little discomfort.

What is mechanical induction?

Mechanical induction helps your body prepare for labour by applying slow, steady pressure to the cervix — in a way that mimics what your body would naturally do over time. One of your options for mechanical induction is DILAPAN-S – small rods, about the size of a matchstick, made from a special hydrogel (synthetic, water-absorbing material) that slowly absorbs moisture from the cervix, resulting in soft jelly-like material. As they expand, they help your body get ready for labour. No hormones, no uterine stimulation – just a step-by-step support for your body’s own preparation.

If you're curious about how your body’s readiness for labour is assessed, care providers often use something called the Bishop Score – you can read more about it here.

Is it painful?

When discussing discomfort or pain, it’s helpful to consider it in two stages:

  1. the insertion procedure itself, and
  2. the cervical ripening process.

The insertion is not a complicated procedure and usually takes only a few minutes. While it may be perceived as uncomfortable or even painful, most women report it as fully acceptable. Mums usually describe the feeling as a period cramp, pressure, or tightness in the lower belly or back.

The good news?

After insertion, the gradual process of cervical ripening begins, lasting several hours (usually 12–24 hours). This type of induction doesn’t cause contractions on its own, which means you’re less likely to experience the intense pain sometimes triggered by hormonal methods early on. For many, the discomfort settles after the first few minutes – and you can often move around, eat, or if recommended - even go home during the waiting period!

Mechanical induction of labour with DILAPAN-S
image source: DILAPAN-S

What you can do to manage the discomfort

Discomfort during mechanical induction is common, as your body is preparing for labour itself, but there are many ways to ease it — and your comfort absolutely matters.

Here are some gentle, mum-tested ways to make the experience more manageable:

💧 Breathe with intention

Breathing isn’t just calming — it’s powerful. Try slow, deep breaths in through your nose and out through your mouth. Or use a technique you learned in your antenatal class. Breathing helps your nervous system stay steady and your body stay relaxed, which can reduce how intensely you feel pain.

🌿 Create your comfort zone

Bring small things that make you feel safe and calm: your favourite essential oil, a cosy hoodie, your playlist, a calming app, or even a photo that makes you smile. These aren’t just “nice extras” — they can actually help your brain shift focus away from pain.

🧘 Move (or don’t!) – listen to your body

Some mums find that gentle movement, like walking or rocking on a birth ball, helps ease the pressure. Others just want to rest and cocoon. Both are valid. If you’re allowed to go home after insertion, set up a space where you can relax without interruptions.

💬 Ask about pain relief

Even if the method is non-hormonal, you still deserve support if the discomfort gets too much. Whether that’s medication, a warm compress, or just someone explaining what’s happening — speak up. Your voice matters.

🤲 You’re allowed to say “this is hard”

Discomfort doesn’t mean you’re not strong. It means you’re human. Let your partner, midwife, or nurse know how you're doing. Sometimes just talking it through takes the edge off more than we expect. If one thing doesn’t help, try another. Managing discomfort isn’t about “powering through” — it’s about feeling cared for and supported every step of the way.

When to seek help

While discomfort is expected, severe or growing pain, bleeding, or fever are not. Always let your care provider know if anything feels wrong – trust your gut.

A few final thoughts

Mechanical induction, especially with DILAPAN-S, offers a gentle, hormone-free way to help your body prepare for labour. Yes, there may be a few moments of discomfort – but with the right mindset and a few calming tools, you’ve absolutely got this.

There are also gentle ways you can support your body’s natural preparation before an induction is recommended.

You are not alone in this. You're strong, informed, and doing something incredible.

Disclaimer: This article is for informational purposes only and should not replace professional medical advice. Always consult your healthcare provider regarding your pregnancy and birth plan.

FAQs
Will I have painful contractions during the ripening?

The ripening stage is about softening and opening the cervix, not driving contractions, so strong, painful contractions are typically not expected here.

And because DILAPAN-S works mechanically and gradually rather than with drugs, it does not increase the risk of excessive contractions. Women using DILAPAN-S may also require less pain relief and report lower overall pain than those receiving pharmacological methods. Most are even able to move around, shower and rest during this time.

What is the difference between mechanical and pharmacological cervical ripening methods?

Non-hormonal methods, such as DILAPAN-S, help prepare the cervix mechanically, while pharmacological methods use medications to stimulate cervical changes. Research shows that both approaches can be effective, but mechanical methods are increasingly valued for their gentle, predictable nature, favourable safety profile and suitability for a broad range of women, including those for whom hormonal methods may not be appropriate.

What can I do while DILAPAN-S is in place?

Once DILAPAN-S is in place, it doesn’t stop you moving around. Depending on what your midwife advises, you can carry on with your usual everyday activities. This may include taking a walk, enjoying a shower, sleeping, spending time with family or getting some rest.

Contributors
Veronika Dobiasova, MD
Physician and International Product Manager

Veronika Dobiasova, MD is a physician specializing in obstetrics, gynaecology, and labour induction. She works closely with clinical experts to translate medical evidence into clear, practical information for healthcare professionals and expectant parents.

Show more
Jan Waclav, MD
Clinical & Medical Affairs Director

Physician and Clinical & Medical Affairs Director with 30+ years of experience in clinical research, medical affairs, and evidence-based healthcare. Jan is certified in Anesthesia and Intensive Care Medicine and has held senior medical leadership roles at MEDICEM Technology, SOTIO, GlaxoSmithKline, and AstraZeneca.

Show more
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