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Membrane Stripping
Aka: Membrane Stripping, Cervical Membrane Sweeping
- Indications
- Cervical Ripening
- Contraindications
- Placenta Previa
- Efficacy
- Stimulates prostaglandin release
- Useful as adjunct in Labor Induction
- Allows for lower overall Oxytocin dose
- Foong (2000) Obstet Gynecol 96:539-42 [PubMed]
- Sweeping membranes after 38 weeks gestation prevents late term pregnancy and induction
- Number Needed to Treat to prevent one induction: 8
- Associated with Relative Risk of pregnancy beyond 41 weeks: 0.59
- Associated with Relative Risk of pregnancy beyond 42 weeks: 0.28
- Adverse effects
- Unintentional Rupture of Membranes
- Bleeding
- Infection
- Membrane Stripping appears safe even in mothers with positive GBS Culture
- Kabiri (2015) PLos One 10(12):e0145905 [PubMed]
- Technique
- Confirm no Placenta Previa on Ultrasound prior to performing Membrane Stripping
- Use sterile exam gloves
- Examining finger inserted into Cervix
- Finger moved in circular fashion inside endocervix
- Press against internal cervical os
- Separates membranes from lower uterine segment
- References
- Boulvain (2005) Cochrane Database Syst Rev (1): CD000451 [PubMed]
- Boulvain (1998) Br J Obstet Gynaecol 105:34-40 [PubMed]
- Wheeler (2022) Am Fam Physician 105(2): 177-86 [PubMed]