Membrane sweeping at term to promote spontaneous labour and reduce the likelihood of a formal induction of labour for postmaturity: a systematic review and meta-analysis

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2019Keyword
Term pregnancyPost-dates pregnancy
Postmaturity
Membrane sweeping
Membrane stripping
Stretch and sweep
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© 2018 Taylor & Francis. This is an Author's Original Manuscript of an article published by Taylor & Francis in Journal of Obstetrics and Gynaecology on 04 Oct 2018 available online at http://www.tandfonline.com/10.1080/01443615.2018.1467388.Peer-Reviewed
YesOpen Access status
openAccessAccepted for publication
2018-09
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The aim of this study was to evaluate the efficacy and the safety of membrane sweeping in promoting spontaneous labour and reducing a formal induction of labour for postmaturity. Based on articles published between 2005 and 2016, 12 electronic databases were searched. Relative risk (RR) and its 95% confidence interval (CI) were used as pooled statistics. A total of seven studies consisting of 2252 participants were selected for the review and meta-analysis. The results revealed that membrane sweeping is advantageous in promoting spontaneous labour (RR = 1.205, 95% CI: 1.133–1.282, p = <.001), and reducing the formal induction of labour for postmaturity (RR = 0.523, 95% CI: 0.409–0.669, p = <.001). The studies reported several varying outcomes for both maternal and foetal morbidities; meta-analyses were performed where possible on each of these and found there to be no statistically significant differences in outcome between the intervention and control groups.Version
Accepted manuscriptCitation
Avdiyovski H, Haith-Cooper M and Scally A (2019) Membrane sweeping at term to promote spontaneous labour and reduce the likelihood of a formal induction of labour for postmaturity: a systematic review and meta-analysis. Journal of Obstetrics and Gynaecology. 39(1): 54-62.Link to Version of Record
https://doi.org/10.1080/01443615.2018.1467388Type
Articleae974a485f413a2113503eed53cd6c53
https://doi.org/10.1080/01443615.2018.1467388