To Compare Sweeping of Membranes Versus Expectant Management for Spontaneous Onset of Labor and Vaginal Delivery.

Muhammad Aamir Latif

Status: Not yet enrolling

Conditions: Post-Term Pregnancy

Treatments: Procedure: Membrane sweeping

Study type: Interventional

Funder types: Other

Identifiers

NCT06949787

DrAyeshaCMHAttock

Details and patient eligibility

About

The study is planned to fill the gaps regarding the effectiveness of sweeping of membranes versus expectant management in terms of spontaneous onset of labor and vaginal delivery in post-date primigravida.

Full description

This study is important as it provides localized data on the effectiveness and practicality of membrane sweeping in a low-resource setting, which is underrepresented in current literature. Potential benefits of this research may include reduced need for formal labor induction, lower healthcare costs, and improved maternal and neonatal outcomes. The findings may enhance clinical practices by offering an evidence-based, patient-friendly approach to managing postdate pregnancies, particularly in resource-limited settings where induction facilities are constrained.

Enrollment: 132 estimated patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Primigravid women
• Aged between 18 and 40 years
• Gestational age ≥40 weeks, confirmed by ultrasound or early dating scan
• Singleton pregnancies
• Cephalic presentation

Exclusion criteria

• Multiple gestations
• Fetal distress or anomalies detected on ultrasound
• Contraindications to vaginal delivery (e.g., placenta previa, previous uterine surgery)
• Previous uterine scar

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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132 participants in 2 patient groups

Membrane sweeping group

Experimental group

Description:

Participants in the membranes sweeping group will receive membrane sweeping. If labor will not initiate within 48 hours, the procedure will be repeated up to a maximum of three times at 48-hour intervals.

Treatment:

Procedure: Membrane sweeping

Expectant management group

No Intervention group

Description:

Women in the expectant management group will receive no mechanical intervention, and these women will be monitored according to the standard protocol until spontaneous labor onset or labor induction will be deemed necessary.