Document Detail

Sweeping of the membranes versus uterine stimulation by oxytocin in nulliparous women. A randomized controlled trial.
MedLine Citation:
PMID:  10828706     Owner:  NLM     Status:  MEDLINE    
The aim of this study was to evaluate whether sweeping of the membranes at term could shorten the length of pregnancy and reduce the incidence of postterm pregnancies. We randomly selected 104 nulliparas with uncomplicated pregnancy and gestational age between 281 and 287 days. Our patients were divided into three groups. Group A consisted of 34 women who were subjected to sweeping of the membranes. Uterine stimulation with oxytocin was applied in 35 women (group B), and 35 women (group C) were used as a control group. We had no significant reduction of the time interval from sweeping of the membranes until delivery (1.9 +/- 1.2 days), compared to that of group B (2.1 +/- 0.8 days) as well as that of the control group (2.5 +/- 0.9 days). The incidence of spontaneous labor in patients after sweeping of the membranes was greater (67.6%) when compared with oxytocin-stimulated patients and the control group (p < 0.05). Furthermore, a better Bishop score was noted in patients of group A. No statistically significant difference was noted in the mode of delivery between the groups, but sweeping of the membranes significantly decreased the incidence of postterm pregnancies (p < 0. 05). We concluded that sweeping of the membranes is an effective method for initiating labor in women with a gestational age between 40 and 41 weeks, thus reducing the need for induction.
E Salamalekis; N Vitoratos; D Kassanos; C Loghis; L Batalias; N Panayotopoulos; G Creatsas
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Gynecologic and obstetric investigation     Volume:  49     ISSN:  0378-7346     ISO Abbreviation:  Gynecol. Obstet. Invest.     Publication Date:  2000  
Date Detail:
Created Date:  2000-08-11     Completed Date:  2000-08-11     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  7900587     Medline TA:  Gynecol Obstet Invest     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  240-3     Citation Subset:  IM    
Copyright Information:
Copyright 2000 S. Karger AG, Basel
2nd Department of Obstetrics and Gynecology, University of Athens, Areteion Hospital, Athens, Greece.
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MeSH Terms
Extraembryonic Membranes*
Gestational Age
Labor, Induced / methods*
Oxytocin / therapeutic use*
Physical Stimulation
Pregnancy, Prolonged*
Time Factors
Reg. No./Substance:

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