Procedure

Membrane Stripping

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Membrane Stripping, Cervical Membrane Sweeping

  • Efficacy
  1. Stimulates prostaglandin release
  2. Useful as adjunct in Labor Induction
    1. Allows for lower overall Oxytocin dose
    2. Foong (2000) Obstet Gynecol 96:539-42 [PubMed]
  3. Sweeping membranes after 38 weeks gestation prevents late term pregnancy and induction
    1. Number Needed to Treat to prevent one induction: 8
    2. Associated with Relative Risk of pregnancy beyond 41 weeks: 0.59
    3. Associated with Relative Risk of pregnancy beyond 42 weeks: 0.28
  • Adverse effects
  1. Unintentional Rupture of Membranes
  2. Infection
  3. Bleeding
  • Technique
  1. Examining finger inserted into Cervix
  2. Finger moved in circular fashion inside endocervix
  3. Press against internal cervical os
  4. Separates membranes from lower uterine segment