Membrane sweeping at initiation of formal labor induction: a randomized controlled trial

Obstetrics and Gynecology
Peng Chiong TanSiti Zawiah Omar

Abstract

To determine the benefit of membrane sweeping at initiation of labor induction in conjunction with formal methods of labor induction. Two hundred seventy-four women at term with a singleton fetus in cephalic presentation and intact membranes were randomly assigned to receive membrane sweeping or no membrane sweeping at initiation of formal labor induction with either dinoprostone pessary or amniotomy. Outcome measures included mode of delivery, induction-to-delivery interval, dinosprostone dose, any oxytocin use and duration of oxytocin use in labor, visual analog score for pain associated with sweeping, and visual analog score for satisfaction with the birth process. Two hundred sixty-four women (136 sweep and 128 no sweep) had their data analyzed. Ten women (4 sweep and 6 no sweep) were excluded because of exclusion criteria infringements. Swept women had higher spontaneous vaginal delivery rate (69% compared with 56%, P = .041), shorter induction to delivery interval (mean 14 compared with 19 hours, P = .003), fewer that required oxytocin use (46% compared with 59%, P = .037), shorter duration of oxytocin infusion (mean 2.6 compared with 4.3 hours, P = .001) and improved visual analog score for birth process satisfaction (me...Continue Reading

Associated Clinical Trials

References

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Citations

Jun 15, 2013·Archives of Gynecology and Obstetrics·Emmanuel Onyebuchi UgwuFrank Okechukwu Ezugwu
Aug 2, 2014·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Jehad Al-HarmiAsiya Tasneem
Nov 17, 2017·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Rani Haj YahyaDoron Kabiri
May 17, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Giuseppe RizzoFrancesco D'Antonio
Feb 28, 2020·The Cochrane Database of Systematic Reviews·Elaine M FinucaneDeclan Devane
Apr 25, 2013·Journal of Perinatal Medicine·Bodil Birgitte AndersenNiels J Secher
Jan 28, 2005·The Cochrane Database of Systematic Reviews·M BoulvainO Irion
Nov 14, 2012·BJOG : an International Journal of Obstetrics and Gynaecology·N S OmarS Z Omar
Jan 27, 2011·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Peng Chiong TanSofiah Sulaiman
Jun 24, 2021·The Journal of Obstetrics and Gynaecology Research·Anju BhatiaSabaratnam Arulkumaran

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