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Sweeping of the membranes is an effective method of induction of labour in prolonged pregnancy: a report of a randomized trial
Author(s) -
ELTORKEY MOHAMED,
GRANT JOHN M.
Publication year - 1992
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1992.tb13780.x
Subject(s) - medicine , randomized controlled trial , odds ratio , confidence interval , pregnancy , obstetrics , rupture of membranes , gynecology , surgery , gestational age , genetics , biology
Objective To determine whether sweeping of the membranes is an effective method of induction of labour in women with prolonged pregnancy. Design Randomized controlled trial. Setting A district maternity hospital. Subjects 65 women attending an antenatal clinic; 33 randomized to sweeping of the membranes and 32 to a control group. Main outcome measure Proportion of women achieving spontaneous labour. Results Spontaneous labour occurred more often in the sweeping of the membranes group than in the control group (25/33 (76%) vs 12/32 (38%); odds ratio (OR) 4.65; 95% confidence interval (CI) 1.75 to 12.31; P = 0.002 ). In addition a greater proportion of women in the sweeping group had a cervical dilatation of 4 cm or more at the first vaginal examination in the labour ward (16/33 (49%) vs 5/32 (16%); OR 4.39; 95% CI 1.56 to 12.32; P = 0.005 ). There were fewer maternal infections in the sweeping group (0/33 vs 4/32 (12%); OR 0.12; 95% CI 0.02 to 0.88; P = 0.04 ). There were no differences in the type of analgesia used in labour, the mode of delivery or neonatal outcome. Conclusions Sweeping of the membrances is an effective method of induction of labour in women with prolonged pregnancy.