6/18/2023 0 Comments Whats a membrane sweep![]() Without membrane sweeping, 598 women in 1000 will end up in spontaneous labour. Women who had membrane sweeping were a bit more likely to end up in spontaneous labour (and more on the use of this term below) than women who did not have membrane sweeping. Let’s look a bit more closely at the numbers from this updated review. That’s hard to measure, and most of the studies aren’t large enough to be able to assess that. And those might possibly be the women who were just about to go into labour anyway. Previous research on this topic has suggested that membrane sweeping may be effective, but only in some women. Overall, the certainty of the evidence was found to be low.” ( Finucane et al 2020). There were also some issues with possible bias: “Of the seven studies that reported financial funding, two studies reported funding from pharmaceutical companies. “Studies compared membrane sweeping with no intervention or sham intervention, and also compared membrane sweeping with vaginal or intracervical prostaglandins, oral misoprostol, oxytocin and repeated membrane sweeping.” ![]() The design of the studies varied, though. These looked at the outcomes for 6940 women from a wide range of countries including high-, middle- and low-income countries. This edition includes 44 randomised studies. The review itself was updated as more studies have been published since the last edition. Looks at the evidence relating to due dates, ‘post-term’, older and larger women, suspected big babies, maternal race and more. In Your Own Time was written to help parents and professionals better understand the issues and the evidence relating to the current induction epidemic. Loads more on the evidence for induction in In Your Own Time: how western medicine controls the start of labour and why this needs to stop. It can imply that women’s bodies are inadequate.Īnd although many people agree that it is preferable to full-blown medical induction, there is an argument that we should be offering induction of labour only when the benefits truly outweigh the disadvantages. Some people feel that it is a good example of ‘too much intervention too soon’. The pros and cons are often not discussed at length. In some areas it is now offered routinely. This would be advantageous, as medical induction carries risks and is usually carried out in hospital.īut membrane sweeping is also controversial. Their hope is that it will prevent the need for labour to be induced with drugs and other interventions. It is cheap and easy to perform and it can be done at home or in a clinic rather than in a hospital. There are good reasons that some clinicians and systems of care promote the ‘stretch and sweep’ intervention. This procedure, also known as a stretch and sweep, is offered to women in some parts of the world as the first step in the process of inducing labour. If it comes up when you’re already in the hospital, we’ll help you decide what’s right for you and your baby.The Cochrane collaboration have updated their review on membrane sweeping for induction of labour ( Finucane et al 2020). If we think there’s a chance that you’ll need to be induced, we’ll talk about your options in advance. Use a soft balloon to gently stretch your cervix open.Use an oral or vaginal pill to help soften your cervix and start contractions.Give you an IV infusion of Pitocin - a synthetic version of oxytocin, a hormone your body makes naturally that triggers contractions. ![]() ![]() Rupture the amniotic sac with a small, sterile tool.This can help your body produce a chemical that starts contractions naturally. Sweep the membranes using a gloved finger to separate the amniotic membrane from the uterus.If your cervix is somewhat dilated but you’re not having contractions, we might: Use medication to ripen your cervix for delivery.Open it manually, using a narrow tube with a balloon at the end.If your cervix hasn’t started to ripen, we might: Your care team will decide which method to use based on the condition of your cervix. Unless there’s a medical risk to the parent or baby, all inductions are done after 39 weeks. Other risks to you or your baby would be reduced if your baby was delivered.Your baby needs medical treatment, but the risks of vaginal delivery are low.You have high blood pressure, diabetes, an infection, or another condition that’s a threat to you or your baby’s health.Your water has broken, but contractions haven’t started. ![]()
0 Comments
Leave a Reply. |