Women with uncomplicated pregnancy who were attending the antenatal clinic were enrolled if they met the following criteria: singleton pregnancy, cephalic presentation, and anticipated vaginal delivery.
Membeane sweep trial#
This was a randomized controlled trial conducted at the King Abdulaziz University Hospital, Jeddah, Saudi Arabia, from January 1, 2011, to January 1, 2012. The aims of this study were: 1), to evaluate the safety and efficacy of membrane sweeping at term and 2), to determine the induction rate of labor among women who undergo membrane sweeping. Maternal side effects such as discomfort and mild vaginal bleeding are not uncommon but no evidence of increased maternal and fetal infection. Therefore, membrane sweeping may hasten the onset of labor and reduces the number of pregnant women continuing beyond 41 weeks and the need for formal labor induction. This procedure is a conservative and a non invasive approach, which could be performed in the situations where the indication to induce labor is not immediate or urgent for intervention. It is an effective mean of induction in uncomplicated term pregnancy, but less efficient than other methods such as the use of oxytocin, prostaglandins and amniotomy. The primary aim is to initiate labor and or to improve favorability of the cervix by increasing local production of prostaglandins. Membrane sweeping is one of the mechanical methods of induction of labor at term in women with and without 1 prior cesarean section. Keywords: Membrane sweeping Induction Cesarean section Introduction Most women required only a single cervical sweeping. There were no differences in the incidence of cesarean delivery, or maternal or fetal morbidity between the two groups.Ĭonclusion: Sweeping of the membranes at term is safe and reduces the incidence of post-date gestation. The induction rate was less in study compared to control group (10 % vs. The overall incidence of pregnant women at 41 week gestation was 10 % in women who underwent membrane sweeping and 25% in the controls (OR 3.0, 95% CI 1.2 - 7.3, P = 0.01). 75%), with a significant difference in mean gestational age (39.5 ± 0.9 vs.
Results: Most of the women who underwent membrane sweeping entered spontaneous labor (90 vs. One hundred and sixty women with uncomplicated pregnancy attending the antenatal clinic and delivery room were randomized to membrane sweeping (study group, n = 80) or no sweeping (control group, n = 80) at 38 weeks of gestation. Method: The study conducted at the King Abdulaziz University Hospital, Jeddah, Saudi Arabia, from Januto January 1 2012. The study design was a randomized controlled trial. Background: This study aimed to determine the efficacy and safety of membrane sweeping on the duration of pregnancy at term and induction rate.
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