Sweeping of the membranes at 39 weeks in nulliparous women: a randomised controlled trial

British Journal of Obstetrics and Gynaecology
H Cammu, V Haitsma

Abstract

To determine whether weekly sweeping of the membranes from 39 weeks of gestation results in a reduction in the number of women reaching 41 completed weeks and subsequently in a reduction of the number of women who will need induction of labour. Randomised controlled trial. Two hundred and seventy-eight nulliparous women, who were seen at the antenatal clinic of a university teaching hospital, were randomly allocated at 39 weeks of gestation to receive on a weekly basis either sweeping of the membranes (n = 140) or a routine pelvic examination (n = 138). The time interval between randomisation and delivery, the incidence of prolonged pregnancy (i.e. > 41 completed weeks), and the incidence of induction of labour. In 24 women (17%) sweeping of the membranes was not possible. Fifty-three women (38%) in the sweeping group and 50 women (36%) in the control group were delivered within one week after randomisation. Women allocated to sweeping showed a trend towards having a shorter randomisation-delivery interval: 9.4 days versus 10.6 days in the controls (P = 0.087). Sweeping had no statistically significant effect on the mean duration of pregnancy (282.8 days in the sweeping group versus 283.8 days in the control group, P = 0.127). ...Continue Reading

References

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Citations

Jul 18, 2002·BJOG : an International Journal of Obstetrics and Gynaecology·S F WongL C Ho
Sep 6, 2011·International Journal of Women's Health·Kathleen PutnamSuneet P Chauhan
Aug 3, 1999·British Journal of Obstetrics and Gynaecology·M BoulvainW Fraser
Jun 3, 2008·Obstetrics and Gynecology·Micah J HillNathan J Hoeldtke
Feb 24, 2006·BJOG : an International Journal of Obstetrics and Gynaecology·E de MirandaF R Rosendaal
Jan 28, 2005·The Cochrane Database of Systematic Reviews·M BoulvainO Irion
Feb 28, 2020·The Cochrane Database of Systematic Reviews·Elaine M FinucaneDeclan Devane

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