I was her longest labor because she started. She said she regretted it, because her midwife didn't tell her that it might not work, or could put her in early labor for a while. ![]() Specifically my mom, who had a membrane sweep with me at 38 weeks. Term pregnancy membrane stripping membrane sweeping post-dates pregnancy postmaturity stretch and sweep. I haven't had one, but I've talked to people who have. This may result in a decreased risk of requiring a formal induction of labour for postmaturity. We recommend therefore that there could be a reduction in the gestation at which membrane sweeping is offered from 40 weeks for primiparous women and 41 weeks for multiparous women to 38 weeks onwards for all low risk women without any increased risk of maternal or foetal morbidity. What the implications are of these findings for clinical practice and/or further research? There is no evidence supporting any increase in maternal or foetal morbidity suggesting that membrane sweeping is a safe procedure to offer to all low risk pregnant women. However, the results of this review suggest that this effect is significant from 38 weeks of gestation, and is not dependent upon the number or timing of membrane sweeps performed. This study clearly demonstrates that membrane sweeping is effective in promoting a spontaneous labour and thereby reducing the need for a formal induction of labour. What the results of this study add? The results from this meta-analysis add to the body of existing evidence around membrane sweeping. For these reasons, it is currently recommended by The National Institute for Health and Care Excellence (NICE 2008 ) that women are offered a membrane sweep to promote spontaneous labour prior to arranging a formal induction of labour. Unlike other methods of labor induction, a membrane sweep doesn’t involve medication and can be done during a routine office visit. 2014 ), as well as having an impact on NHS resources (Department of Health 2015 ), and the birth experience of women (Gatward et al. A membrane sweep is commonly done for pregnant individuals who are past their due dates, or at least 39 weeks pregnant. However, all of the induction methods carry some degree of risk in terms of the associated morbidities and effectiveness (Cunningham 2005 Simpson and James 2008 Thomas et al. Consequently, a formal induction of labour is usually offered to low-risk pregnant women between 41 and 42 weeks of pregnancy. Impact Statement What is already known on this subject? Research suggests that a pregnancy which exceeds 42 weeks of gestation is associated with an increased risk of perinatal morbidity and mortality (Gulmezoglu et al. The studies reported several varying outcomes for both maternal and foetal morbidities meta-analyses were performed where possible on each of these and found there to be no statistically significant differences in outcome between the intervention and control groups. The results revealed that membrane sweeping is advantageous in promoting spontaneous labour (RR = 1.205, 95% CI: 1.133-1.282, p = <.001), and reducing the formal induction of labour for postmaturity (RR = 0.523, 95% CI: 0.409-0.669, p = <.001). A total of seven studies consisting of 2252 participants were selected for the review and meta-analysis. Overview Purpose Procedure Is it safe Does it work What happens afterward Takeaway Membrane stripping may help to induce labor, but it also comes with some uncomfortable side effects. Relative risk (RR) and its 95% confidence interval (CI) were used as pooled statistics. Based on articles published between 20, 12 electronic databases were searched. Pregnant women are asked to give their consent before they have a membrane sweep.The aim of this study was to evaluate the efficacy and the safety of membrane sweeping in promoting spontaneous labour and reducing a formal induction of labour for postmaturity. Pregnant women discuss the option of a vaginal examination to carry out a membrane sweep, in which a healthcare professional moves a finger around the cervix or massages the cervix, to help start labour, at their antenatal appointments after 39 weeks of pregnancy. Healthcare professionals discuss the option of vaginal examination for membrane sweeping with pregnant women at their antenatal appointments after 39 weeks of pregnancy and obtain their consent before carrying out membrane sweeping.Ĭommissioners ensure they commission services that discuss the option of vaginal examination for membrane sweeping with pregnant women at their antenatal appointments after 39 weeks of pregnancy and obtain their consent before carrying out membrane sweeping. ![]() Service providers ensure that systems are in place to obtain the woman's consent before carrying out membrane sweeping. Service providers ensure that processes are in place to discuss the option of vaginal examination for membrane sweeping with pregnant women at antenatal appointments after 39 weeks of pregnancy. ![]() What the quality statement means for different audiences
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