Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 13 , ISSUE 4 ( July-August, 2021 ) > List of Articles

RESEARCH ARTICLE

Repeated Sweeping of Membranes at Term Pregnancy as Method of Induction

Sonu K Batham, Shaheen Anjum

Keywords : Induction of labor, Membrane sweeping, Postterm pregnancy, Spontaneous labor, Term pregnancy

Citation Information : Batham SK, Anjum S. Repeated Sweeping of Membranes at Term Pregnancy as Method of Induction. J South Asian Feder Obs Gynae 2021; 13 (4):265-268.

DOI: 10.5005/jp-journals-10006-1938

License: CC BY-NC 4.0

Published Online: 20-11-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: This study was aimed to determine the effectiveness of serial membranes sweeping in term pregnancy, and its effect on labor. Materials and methods: In this prospective study, 123 women with an uncomplicated pregnancy at 39 weeks or more gestation were recruited for the study; out of them, 38 were cases (serial sweeping group) and 85 were in the control (no sweeping group). The primary outcome measure was the occurrence of spontaneous labor and changes in Bishop\'s score after each sweeping. Other outcome measures included were interval of, occurrence of premature rupture of membranes, the total duration of active labor, mode of delivery, rate of cesarean section and its causes, and neonatal and maternal outcome. Results: There were no statistically significant differences between the two groups regarding maternal age, parity, and Bishop\'s score at recruitment. The onset of labor was not significantly different in both groups {(6.82 ± 1.967 days) (7.96 ± 3.63 days)} from the day of recruitment. A total of 27 (75.0%) patients of the cases group delivered in the second week whereas there were 40 (47.05%) patients of the control group. This showed a significant difference (p <0.05), and five (13.2%) patients went into postterm pregnancy, in comparison with 22 (25.88%) patients in the control group. There was no significant difference regarding the mode of delivery and maternal and fetal outcomes in cases and controls. Conclusion: Frequent membrane sweeping is not having any significant effect in the mode of induction of labor.


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