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SUMMARY Objective: To determine whether weekly sweeping or stripping membranes beginning at 38 weeks could safely reduce the spontaneous labor rate after 41 weeks. Methods: 110 antenatal low-risk patients with firm gestational dates were randomized to either a treatment or control group. Control subjects received gentle cervical examination each week to asses Bishop score, whereas the treatment group also underwent weekly stripping of membranes beginning at 38 weeks. The primary outcome was the spontaneous labor rate before 41 weeks. Secondary outcomes included maternal and neonatal morbidity. The data were analyzed using Chi square, Fisher exact test, Student t test and Wilcoxson rank-sum test. Results: The subjects were demographically similar between groups. Women who received treatment had fewer deliveries after 41 weeks than those in the control group (22,2% v/s 10,0%; p< 0,05). Maternal- neonatal complications were similar in both groups. Conclusion: The stripping of membranes is a safe and effective method to reduce the incidence of labors after 41 week.

DIVULSIÓN DEL POLO INFERIOR: MÉTODO SEGURO Y EFICAZ PARA DISMINUIR LOS PARTOS ESPONTÁNEOS DESPUÉS DE LAS 41 SEMANAS