Published: 2020-04-28

Sweeping of the fetal membranes and its effect on duration of pregnancy in low risk cases

Sonu Kumar Batham, Archana Kori, Manik S. Sirpurkar


Background: This study aimed to determine effectiveness of sweeping of membranes on the duration of pregnancy at term, and its effect on maternal and neonatal outcomes.

Methods: In this prospective study, 145 women with uncomplicated pregnancy at 39 weeks or more gestation who were attending regular ANC clinic, were recruited for study, out of them 60 were cases (sweeping group) and 85 were control (no sweeping group). Primary outcome measure was occurrence of spontaneous labour and total duration of pregnancy. Other outcome measures included were interval of onset of labour from membrane sweeping, incidence of premature rupture of membranes, total duration of active labour, mode of delivery, rate of caesarean section and causes, and neonatal and maternal outcome.

Results: There were no statistically significant differences between the two groups regarding maternal age, parity and bishops score at recruitment. There was a significant difference observed in spontaneous labour rate and interval time between recruitment to delivery in groups. There was no significant difference regarding mode of delivery, maternal and fetal outcomes.

Conclusions: Membrane sweeping is a safe procedure that reduces the incidence of post-term pregnancies if applied at term.


Delivery, Induction, Membranes sweeping, Post-term pregnancy, Spontaneous labour, Term pregnancy

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MacDorman MF, Kirmeyer S. Fetal and perinatal mortality, United States, 2005. Natl Vital Stat Rep. 2009;57(8):1.

Smith GC. Life-table analysis of the risk of perinatal death at term and post term in singleton pregnancies. Am J Obstet Gynecol. 2001;184:489.

Tenore JL. Methods for cervical ripening and induction of labour. Am Fam Physician. 2003;67(10):2123-8.

Lee HR, Kim M, You JY. Risk of caesarean section after induced versus spontaneous labor at term gestation. Obstet Gynecol Sci. 2015;58(5):346-52.

Boulvain M, Stan C, Irion O. Membrane sweeping for induction of labour. Cochrane Database Syst Rev. 2005;1:CD000451.

Boulvain M, Irion O. Stripping/sweeping the membranes for inducing labor or preventing post-term pregnancy. Cochrane Database Syst Rev. 2000;2:CD000451.

Induction of labour clinical guidelines July 2008 was originally published by the National Collaborating Centre for Women's and Children's Health/National Institute for Health and Clinical Excellence (NCCWCH/NICE). National Institute for Health and Clinical Excellence (NICE); 2008:32.

McColgin SW, Benett WA, Roach H, Cowan BD, Martin JN, Morris JC. Partutional factors associated with membranes stripping. Am J Obstet Gynecol 1993;169:71-7.

Sharma R. Weekly stripping of membranes at term pregnancy. Transworld Med J. 2014;2(2):105-7.

Gupta R, Vasishta K, Sawhney H, Ray P. Safety and efficacy of stripping of membranes at term. Int J Gynaecol Obstet. 1998;60(2):115-21.

Day L, Fleener D and Andrews J. Membrane sweeping with labor induction - a randomized control trial. AJOG; Oral Concur Sess. 2009;8:S47.

Tan PC, Jacob R, Omar SZ. Membrane Sweeping at initiation of formal labor induction: a randomized controlled trial. Obstet Gynecol. 2006;107(3):569-77.

Shafik A, Abou-Seeda M, Hofny M. Membrane sweeping prior to induction of labor: a randomized controlled trial. Life Sci J. 2014;11(3):184-90.