Membrane sweeping and prevention of post‐term pregnancy in low‐risk pregnancies: a randomised controlled trial

Miranda, Esteriek de; Bom, Johanna G. van der; Bonsel, G.J.; Op, Bleker; Fr, Rosendaal

doi:10.1111/j.1471-0528.2006.00870.x

Cited by 71 publications

(40 citation statements)

References 32 publications

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“…It has been argued that membrane stripping may be more effective in multiparous than nulliparous patients. This assumption has been disputed by de Miranda et al 13 . Previous studies 3,16 have demonstrated that intravaginal misoprostol was more effective at improving cervical effacement and consistency than cervical os dilatation, and also that misoprostol was a better agent for initiating labour than the transcervical Foley catheter.…”

Section: Resultsmentioning

confidence: 81%

Can Term Gestation Be Induced by Misoprostol on Opd Basis?

Javadekar¹,

Rokade²

2013

jemds

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Stripping of membranes is wide used as OPD procedure for preripening and induction of labour. This study was planned to assess whether or not low single dose of vaginal misoprostol ( 25 mcg.) can be added to stripping in OPD and what is going to be the impact on the end result of labour induction. The study was applied in Datta Sugar mill Charitable Hospital, Shirol, Dist. Kolhapur. A total of eighty patients were taken for the study. They were divided in 2 equal teamsGroup A with solely stripping of membranes and Group B Stripping along with 25 mcg Misoprostol. Primary observations were delivery at intervals forty eight hours from the beginning of induction and route of delivery. Secondary observations were interval from induction to onset of labour (latency period), interval from begin of induction to delivery (duration of labour), want for oxytocin augmentation, labour complications, Apgar scores at one and five minutes. Both teams were similar at begin with respect to age, parity and between forty weeks and forty one weeks gestation. There was a considerably shorter induction to onset of labour interval within the B group. The period of labour was considerably shorter in B group. Overall, baby outcomes were similar and comparable within the 2 teams. The study gave following results and conclusionThe patients who received Stripping with vaginal 25mcg.Misoprostol showed 1. A shorter latency period, 2. Less need for oxytocin augmentation, 3. Shorter duration of labour in patients. The two induction strategies were similar with respect to baby outcomes. each were found safe as OPD strategies, though any assessment of the security profile with larger studies are required. More patients felt positive about the intervention in B group than in A group.

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Section: Resultsmentioning

confidence: 81%

Can Term Gestation Be Induced by Misoprostol on Opd Basis?

Javadekar¹,

Rokade²

2013

jemds

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“…In post-term pregnancies, there are risks such as oligohydramnios, macrosomia, shoulder dystosia in delivery, fetal distress, and increased CS rates [16]. Amniotic membrane stripping provides a reduction in post-term pregnancies and in the number of patients for whom formal induction methods are used [17][18][19][20]. It has been reported in the Cochrane review that amniotic membrane stripping does not increase maternal and fetal morbidity [18].…”

Section: Discussionmentioning

confidence: 99%

Low Primary Cesarean Delivery Rates of a Secondary Health Center in a Seven Year-Period

Özer¹,

Özer²,

Ercan³

et al. 2016

Ann Clin Anal Med

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ÖzetAmaç: 2. basamak bir hastanenin primer sezaryen seksiyo (SS) oranlarının ve endikasyonlarının sunulması amaçlanmıştır. Gereç ve Yöntem: Bu retrospektif çalışmada Mart 2009-Aralık 2015 tarihleri arasında 2. basamak bir hastanenede gerçekleşen doğumlar incelenmiştir. Toplam doğum sayısı, primer ve tekrarlayan SS sayısı, SS endikasyonları ve komplikasyonları değer-lendirilmiştir. Bulgular: 7 yılllık çalışma süresi boyunca 6535 doğum gerçek-leşmiştir. Hastaların ortalama yaşı 26.7 ± 6.0 (yaş aralığı: 15-47 yaş) olarak saptanmıştır. Tüm doğumların %20,5'i SS ile gerçekleşmiştir. Sezaryen seksiyoların %27,8'i primer, %72,2'si tekrarlayan seksiyodur. Çalışma döne-mine ait ortalama primer ve tekrarlayan SS oranı sırasıyla %5,7 ve %14,8 olarak hesaplanmıştır. 2009 yılında %8,8 olan primer SS oranı 2015 yılında %4,3'e düşmüştür. En sık primer SS endikasyonları sırasıyla malprezentasyon (%33,9), fetal distres (%23,3) ve başarısız doğum indüksiyonu (%14,8) olarak saptanmıştır. SS yapılan hiçbir hastada bağırsak yaralanması saptanmamıştır. Tekrarlayan SS grubunda bir hastada mesane hasarı saptanmış ve başarıyla onarılmıştır. Tartışma: Çalışmamızda saptanan primer SS oranları oldukça düşüktür. Bu düşük oranlar hastaların vajinal doğum konusunda bilgilendirilmeleri ve cesaretlendirilmeleri, anne isteğine bağlı SS yapılmaması, term gebeliklerde amniyotik membran sıyırma işleminin yapılması gibi faktörlere bağlanabilir. Anahtar KelimelerSezaryen Seksiyo; Primer Sezaryen Seksiyo Oranı; Sezaryen Seksiyo Endikasyonları Abstract Aim: To present the indications and primary caesarean section (CS) rates of a secondary level hospital. Material and Method: This is a retrospective review of the births recorded at a secondary health center between March 2009 and December 2015. The number of patients with primary CS and repeat CS, total number of births, caesarean indications, and complications were assessed. Results: A total of 6535 live births were recorded during a sevenyear-long study period. The mean age of the patients was determined as 26.7 ± 6.0 years (range of age: 15-47 years). Delivery by CS was performed in 20.5% of the total births. Of the caesarean births, 27.8% were primary CS and 72.2% were repeat CS. The mean primary and repeat CS rates during the study period were calculated as 5.7% and 14.8% respectively. The primary CS rate was 8.8% in 2009 and this number decreased to 4.3% in 2015. The most frequently encountered primary CS indications were malpresentation (33.9%) followed by fetal distress (23.3%) and failure of labour induction (14.8%) respectively. No intestinal injury was determined in any patient who underwent caesarean delivery. In the repeat CS group, only one patient had a bladder injury that was successfully repaired. Discussion: The rates of primary caesarean section determined in this study are very low. These low rates can be attributed to several factors such as informing and encouraging patients about vaginal birth, avoiding CS on maternal request, and applying amniotic membrane stripping at term pregn...

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“…Inversement en débutant le décollement à 41 SA toutes les 48 heures jusqu'à 42 SA (versus pas d'intervention), De Miranda et al dans un essai randomisé multicentrique rapportent une diminution globale des patientes qui arrivaient à ce terme grâce au décollement des membranes (RR 0,57, 95 % CI 0,46-0,71) aussi bien chez les patientes nullipares (RR 0,62 95 % CI 0,48-0,81) que chez les multipares (RR 0,49 95 % CI 0,34-0,73). Ces auteurs soulignent à nouveau l'augmentation des métrorragies même sans gravité liées à cette technique [21].…”

Section: Techniques De Déclenchement Décollement Des Membranesunclassified

Modalités du déclenchement dans les grossesses prolongées

Winer

2011

Journal de Gynécologie Obstétrique et Biologie de la Reproducti

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Membrane sweeping and prevention of post‐term pregnancy in low‐risk pregnancies: a randomised controlled trial

Cited by 71 publications

References 32 publications

Can Term Gestation Be Induced by Misoprostol on Opd Basis?

Can Term Gestation Be Induced by Misoprostol on Opd Basis?

Low Primary Cesarean Delivery Rates of a Secondary Health Center in a Seven Year-Period

Modalités du déclenchement dans les grossesses prolongées

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