To Compare Sweeping of Membranes Versus Expectant Management for Spontaneous Onset of Labor and Vaginal Delivery.
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Membrane sweeping.
- Who it may be relevant to
- Registry conditions: Post-Term Pregnancy. Basic parameters: 18 years — 40 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Comparison of Spontaneous Onset of Labor and Vaginal Delivery in Post-date Primigravida Undergoing Sweeping of Membranes Versus Expectant Management
Overview
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.
Detailed 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.
Interventions
- Procedure Membrane sweeping
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.
Primary outcome measures
- Spontaneous onset of labor and vaginal delivery [Time frame: 6 days]
Eligibility criteria
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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Pakistan · 1 center
- Combined Military Hospital — Attock
Identifiers
NCT: NCT06949787 · DrAyeshaCMHAttock