British journal of obstetrics and gynaecology · 1992
Sweeping of the membranes is an effective method of induction of labour in prolonged pregnancy: a report of a randomized trial.
Клиническое исследованиеСтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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el-Torkey M, Grant J M
Аннотация
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 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 membranes is an effective method of induction of labour in women with prolonged pregnancy.