![]() Subjects and Methods: This was a randomized, controlled study conducted from September 2017 to June 2018. Objectives: The objective was to evaluate the effectiveness of sweeping of the fetal membranes to reduce the incidence of elective induction of labor for postdate pregnancy and to compare pregnancy outcome among women who had sweeping of membranes at 40 weeks with those who did not have sweeping of membranes. Introduction: Prolonged pregnancy is a high-risk pregnancy that is associated with increased maternal morbidity and increased perinatal morbidity and mortality. A baby born after 42 weeks of gestation also has an increased risk of sudden infant death syndrome (SIDS).DOI: 10.4103/archms.archms_36_18 Abstract If your baby breathes meconium in the birth canal, it greatly increases their risk of developing an infection. Staying pregnant longer can increase the risk of your baby passing their first meconium stool in utero. A baby that grows larger than your birth canal will allow for, may be stressed during delivery. With each passing week, the placenta becomes less effective at passing nutrients and blood to your baby. Your baby is also at risk as your pregnancy stretches on. You’re also at an increased risk for a type of high blood pressure that's associated with pregnancy, after your due date. ![]() If your doctor wants to sweep your membranes or use any other labor-induction technique around the time of your due date, take this into account: If you let your pregnancy go past full-term, you will be at greater risk of a difficult delivery as your baby continues to grow in utero. Your doctor will weigh the pros and cons of membrane sweeping before using it to induce your labor. Medical problems you may have had before or during your pregnancy can also contribute to these complications. Too much pressure on your umbilical cord.Too many contractions can put you at risk for: In addition, if membrane sweeping brings on too many contractions, your uterus may be overstimulated. You may start to feel uncomfortable afterward, with irregular contractions and some bleeding. It can also prevent you from needing to deliver via C-section.Ĭons of membrane sweeping. It’s considered a safe way to speed up your labor without increasing your risk for infection. When membrane sweeping works and labor begins, there’s no need to help labor along with drugs like oxytocin, by breaking your water, or by using other, more invasive methods. Having medicine inserted vaginally to ripen your cervix.Using a balloon catheter to encourage the cervix to open.Taking medicine that causes your uterus to contract.Taking medicine that softens your cervix.The idea of forcing your body into labor may be daunting, but this technique has been used for decades.Ĭompare membrane sweeping to other ways to induce labor: It’s one of the less risky labor-induction techniques. Membrane sweeping to induce labor works for one in eight women. Your membranes can only be swept once your cervix opens enough for your doctor to insert a finger. As the water sac separates from your uterus, your cervix may soften and contractions may begin. Your doctor uses this technique to urge your body to release prostaglandins, hormones that stimulate labor. Your doctor inserts a gloved finger into your vagina and up into your cervix to separate your water (amniotic) sac, or bag, from your uterus without breaking the sac. While a C-section is sometimes necessary, it is considered higher-risk, so your doctor may want to avoid doing one if possible. ![]() If your doctor doesn’t try membrane sweeping or another labor induction method, it increases your risk for a cesarean section delivery. ![]() Status of one or two weeks past the estimated due date.Other conditions that call for inducing labor include: In these cases, a doctor may choose to induce labor, to stimulate the body’s progress. Or your water may break, but contractions don’t follow. These things may start to happen but then stall. Ripening, which is also called softening.But labor induction techniques should not be used before 39 weeks’ gestation unless there is a medical reason. There may be other, practical reasons why a doctor may want to induce. But if you or your baby is at risk, your doctor may want to induce your labor sooner. Usually, a woman’s body goes into labor without much prompting, in preparation for a baby’s birth. If your baby needs to be born sooner than everyone else counted on, membrane sweeping, also called sweep and stretch or membrane stripping, may be the labor-induction method your doctor chooses. When you near the end of your pregnancy, your medical team watches you closely for signs that they may need to induce your labor. ![]()
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