The review also found that sweeping can cause discomfort during the procedure, some bleeding and irregular contractions (Cochrane Database of Systematic Reviews, 2005). Sweeping reduces the need for other methods of labour induction such as oxytocin or prostaglandins. Artificial rupture of the membranes (AROM or ARM) (breaking the. The reasons might be: You have been diagnosed with gestational diabetes. Membrane sweep, also known as membrane stripping, Hamilton maneuver, or stretch and sweep. What is a membrane sweep Learn what a membrane sweep is, when a membrane sweep is recommended and what to expect. Occasionally this might be offered earlier if there is a non-urgent medical reason for your baby to be born. The so-called 'rupturing of the membranes' can happen at the very start of labor or during the first stage of labor If the patient feels rectal pressure, an exam is appropriate to see if she is completely dilated and she is dilated to 3 cm 38), zinc 10 38), zinc 10. The review of trials found that sweeping brings on labour and is generally safe where there are no other complications. A membrane sweep is commonly offered as an initial induction method if you’re past your due date or you are nearly at 42 weeks. Having two or even three membrane sweeps 48 hours apart is the most successful way. Sweeping the membranes during a cervical examination is done to bring on labour in women at term. Sweeping the membranes is only offered if you are 39 weeks pregnant, or more.
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Sweeping the membranes is effective in bringing on labour but causes discomfort, some bleeding and irregular contractions. There is no difference in the rates of operative delivery. There is no suggestion of an increased risk of infection although it may increase the incidence of prelabour rupture of membranes. NICE (2008) and RCOG (2001) suggest that sweeping the membranes is likely to increase the chance of spontaneous labour within 48 hours and birth within one week, therefore reducing the need for prostaglandins.