MEMBRANES SWEEPING AND ITS EFFECT ON DURATION OF PREGNANCY IN LOW-RISK CASES

Authors

  • Laraib Malik PAF Hospital Islamabad-Pakistan
  • Rakhshanda Aslam Fazaia Medical College, Islamabad-Pakistan https://orcid.org/0009-0000-8258-8714
  • Umbreen Idrees Fazaia Medical College, Islamabad-Pakistan
  • Fatima Habib Fazaia Medical College, Islamabad-Pakistan
  • Rizwana Nasreen PAF Base Samungali, Quetta-Pakistan
  • Iqra Kanwal Malik Fazaia Medical College, Islamabad-Pakistan

DOI:

https://doi.org/10.55519/JAMC-S4-14125

Keywords:

Membrane sweeping, duration of pregnancy, low-risk pregnancies, spontaneous labor, obstetric intervention

Abstract

Background: Membrane sweeping is a common obstetric intervention used to stimulate labor and decrease the duration of pregnancy. In spite of their widespread use, its efficacy in low-risk pregnancies remains debated. This research intended to evaluate effect of membrane sweeping on period of pregnancy in low-risk cases. Aim was to investigate the impact of membrane sweeping on duration of pregnancy in low-risk women. Methods: A prospective observational study was conducted from May 2023 to April 2024 involving 120 low-risk pregnant women. Participants were recruited from antenatal clinic of a tertiary care hospital. Inclusion criteria were singleton pregnancies between 38 and 40 weeks of gestation with no medical or obstetric complications. Participants were divided into two groups: the membrane sweeping group (n=60) and the control group (n=60). Membrane sweeping was performed during routine antenatal visits for the intervention group, while the control group received standard care without membrane sweeping. The primary outcome measured was the duration of pregnancy from the time of intervention to delivery. Secondary results included mode of delivery, incidence of spontaneous labor, and neonatal outcomes. Results: The mean duration of pregnancy from intervention to delivery was suggestively shorter in membrane sweeping group associated to control set (mean variance: 4.2 days, p<0.05). The incidence of spontaneous labor was higher in the membrane sweeping group (72%) related to control set (48%), and this variance was statistically substantial (p<0.05). There was no substantial variance in mode of delivery or neonatal outcomes among two sets. Conclusion: Membrane sweeping significantly reduced duration of pregnancy in low-risk cases and enlarged incidence of spontaneous labor without affecting mode of delivery or neonatal outcomes. These findings support the use of membrane sweeping as an effective intervention to expedite labor in low-risk pregnancies.

References

1. Njoku C, Omietimi JE, Oriji PC, Aigere EO, Afolabi SA, Tekenah ES, et al. Effectiveness of multiple versus once-only membrane sweeping at term in preventing prolonged preg-nancy: A randomised controlled trial. Sci Afr 2023;19:e01571.

2. Jayasundara DM, Jayawardane IA, Denuwara HM, Jaya-singha TD. Membrane sweeping at term to promote sponta-neous labour and reduce the likelihood of formal labour in-duction for prolonged pregnancy, in South Asia and the world: A meta‐analysis. Int J Gynecol Obstet 2024;166(2):567–79.

3. Twayana K, Tamrakar SR. Efficacy of Membrane Sweeping at Term Gestation to Prevent Post Term Pregnancy: A Compara-tive. Nepal J Obstet Gynaecol 2024;19(1):21–6.

4. Ehikioya E, Nwachukwu OB, Okobi OE. Effectiveness of Single Fetal Membrane Sweeping in Reducing Elective La-bour Induction for Postdate Pregnancies (38+ 0 to 40+ 6 Weeks): A Randomized Controlled Trial. Cureus 2024;16(4)e58030.

5. Ehikioya E, Nwachukwu OB, Okobi OE. Effectiveness of Single Fetal Membrane Sweeping in Reducing Elective La-bour Induction for Postdate Pregnancies (38+ 0 to 40+ 6 Weeks): A Randomized Controlled Trial. Cureus 2024;16(4):e58030.

6. Saeed F, Abbasi SE, Bano N, Khan S, Jabeen K, Faraz F. Comparison Between Expectant Management and Sweeping of Membranes for Spontaneous Onset of Labour and Subse-quent Mode of Delivery. J Soc Obstet Gynaecol Pak 2023;13(4):355–9.

7. Hong JG, Magalingam VD, Sethi N, Ng DS, Lim RC, Tan PC. Adjunctive membrane sweeping in Foley catheter induction of labour after one previous caesarean delivery: A random-ized trial. Int J Gynaecol Obstet 2023;160(1):65–73.

8. Telayneh AT, Ketema DB, Mengist B, Yismaw L, Bazezew Y, Birhanu MY, et al. Pre-labour rupture of membranes and as-sociated factors among pregnant women admitted to the ma-ternity ward, Northwest Ethiopia. PLoS Glob Public Health 2023;3(3):e0001702.

9. Wondosen M. Determinants of term premature rupture of membrane: case-control study in Saint Paul’s Millennium Medical College Hospital, Addis Ababa, Ethiopia. Addis Ababa, Ethiopia. 2023.

10. Kabiri D, Paltiel O, Ofek-Shlomai N, Nir-Paz R, Sompolinsky Y, Ezra Y. Membrane stripping in group B streptococcus car-riers does not impede adequate intrapartum antibiotic prophylaxis: a retrospective study. Front Med (Lausanne) 2024;11:1368998.

11. Begum MS, Parven R, Sultana SS, Mondal M, Marzina M. Evaluation of Fetomaternal Outcome in Expectant and Ac-tive Management of Term Prelabour Rupture of Membranes. EAS J Med Surg 2023;5(10):164–71.

12. Samartharam H, Ila SS, Vasudeva N. Vaginal Drain to Prevent Ascending Infection in Preterm Premature Rupture of Mem-branes: A Novel Method. Cureus 2023;15(7):e42204.

13. Latif S, Aiken C. Prolonged pregnancy: balancing risks and interventions for post-term gestations. Obstet Gynaecol Re-prod Med 2024;34(5):127–33.

14. Robinson D, Campbell K, Hobson SR, MacDonald WK, Sawchuck D, Wagner B. Guideline No. 432a: Cervical Rip-ening and Induction of Labour–General Information. J Ob-stet Gynaecol Can 2023;45(1):35–44.

15. Daniel Z, Tantu T, Zewdu D, Mekuria T, Yehualashet T, Gun-ta M, et al. Determinants of term premature rupture of mem-brane: case-control study in Saint Paul’s Millennium Medi-cal College Hospital, Addis Ababa, Ethiopia. BMC Women's Health 2023;23(1):390.

16. Ho TV, Vo TM, Huynh NX, Pham CH, Nguyen HD, Vo HT. Vaginal fluid creatinine in diagnosing pre-labour rupture of membranes in Vietnam. MedPharmRes 2024;8(2):83–9.

17. Aishwarya R, Divya S, Shivaranjani K, Sharanya H, Rasik NM. Comprehensive systematic review of pharmacological interventions for labour induction: mechanisms, efficacy, and safety. Int J Acad Med Pharm 2023;5(5):749–54.

18. Bruinsma A. Late term pregnancy: Clinical outcomes and daily practice. [Thesis, fully internal, Universiteit van Am-sterdam], 2023.

19. Rankin L, Romagano M, Williams S, Apuzzio J. Is Induction of Labour with Early Rupture of Membranes Associated with an Increased Rate of Clinical Chorioamnionitis? Open J Ob-stet Gynecol 2024;14(2):240–9.

20. Romenskaya T, Longhitano Y, Mahajan A, Savioli G, Voza A, Tesauro M, et al. Extra-Corporeal Membrane Oxygenation in Pregnancy. J Clin Med 2024;13(6):1634.

21. Jaiswal S, Kyejo W, Kilewo C. Maternal and neonatal out-come in pregnant women undergone induction of labour at Muhimbili National Hospital, Dar Es Salaam, Tanzania. BMC Pregnancy Childbirth 2024;24(1):387.

22. Mei JY, Silverman NS. Group B Streptococcus in pregnancy. Obstet Gynecol Clin 2023;50(2):375–87.

23. Martingano D, Amuzu R, Ouyang A, Al-Dulaimi M, Singh S, Marshall J, et al. 241 Efficacy of non-pharmacologic inter-ventions for antepartum cervical ripening in term pregnan-cies. Am J Obstet Gynecol 2024;230(1):S142–3.

24. Guevara LM, Buckheit C, Kuller JA, Gray B, Dotters-Katz S. Evidence Based Management of Labour. Obstet Gynecol Surv 2024;79(1):39–53.

25. Su CT, Chen WY, Tsao PC, Lee YS, Jeng MJ. The impact of premature rupture of membrane on neonatal outcomes in in-fants born at 34 weeks gestation or later. J Chin Med Assoc 2024;87(7):699–705.

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Published

2024-12-16

How to Cite

1.
Malik L, Aslam R, Idrees U, Habib F, Nasreen R, Kanwal Malik I. MEMBRANES SWEEPING AND ITS EFFECT ON DURATION OF PREGNANCY IN LOW-RISK CASES. J Ayub Med Coll Abbottabad [Internet]. 2024 Dec. 16 [cited 2025 Jun. 4];36(4 (Suppl 1):921-5. Available from: https://jamc.ayubmed.edu.pk/index.php/jamc/article/view/14125

Issue

Vol. 36 No. 4 (Suppl 1) (2024): JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD

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ORIGINAL ARTICLE

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Copyright (c) 2024 Laraib Malik, Rakhshanda Aslam, Umbreen idrees, Fatima Habib, Rizwana Nasreen, Iqra Kanwal Malik

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