![]() There is a very small chance of the midwife or doctor breaking your waters during the examination, this is not common, but it does happen occasionally.The procedure involves the doctor or midwife putting two fingers inside your cervix and making a. Vaginal examinations can carry a small risk of infection. You may be offered a membrane sweep by your community midwife.What can I expect Your doctor or midwife will examine your vagina and feel for the position of the cervix (the lower part of the womb) to check if it is opening. It is more likely to work if you are already close to going into labour by yourself. Irregular contractions: which may interfere with your ability to rest and sleep in the last few days of your pregnancy. Stretch and sweep does not work for everyone.The potential risks of a membrane sweep include: It's an effective way to progress labor when you are near or past your due date. It's performed by a healthcare provider and involves them inserting gloved fingers into your cervix to loosen your amniotic sac from your uterus. It involves a midwife inserting one or two fingers into the vagina and using a circling motion sweeping the cervix to free the membranes (Finucane et al, 2020). A membrane sweep is a common procedure performed after 39 weeks of pregnancy to induce labor naturally. 2 out of 10 women with a membrane sweep had their labour induced (228 women in 1000). A ‘membrane sweep’ or ‘stretch and sweep‘ might make it more likely that labour starts without a formal induction (NICE, 2021a).3 out of 10 women without a membrane sweep had their labour induced (313 women in 1000).Just over 7 out of 10 women ended up in spontaneous labour with a membrane sweep (723 in 1000).6 out of 10 women ended up in spontaneous labour without a membrane sweep (598 women in 1000).Research has been shown there is an increase in the chances of labour starting within 48 hours of having a membrane sweep done and that is may reduce the need for other methods of induction of labour.Ī recent review of the evidence available on membrane sweeping found that: Visit Health Education England’s NHS Knowledge and Library Hub for: A single search of all the knowledge and library resources available to you, whether purchased nationally or locally. ![]() Sometimes a obstetrician may recommend a membrane sweep earlier in pregnancy (around 39 weeks). You will need to sign in to the databases with your NHS OpenAthens account. A membrane sweep is usually offered after you have reached your estimated due date as it is more likely to be successful at this point and is often more difficult to perform earlier than this. A membrane sweep is usually offered in the hope that it will stimulate and bring on labour as it can increase the production of hormones called prostaglandins which can encourage labour to start. ![]()
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