Membrane sweeping vs double-balloon catheter for cervical ripening: a randomized controlled trial.
Renana Izakson, May Weinberg, Dina Lidsky-Sachs et al.
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In 30 seconds
This randomized controlled trial compared the effectiveness of membrane sweeping and double-balloon catheter for cervical ripening in term pregnancies. Among 114 participants, both methods showed similar median Δ Bishop scores at 12 hours (2 vs 2, P=.657). However, membrane sweeping resulted in significantly lower oxytocin use (63.8% vs 94.3%, P<.001) and a shorter delivery room stay (8.9 vs 12.8 hours, P=.002).
Key findings
- Median Δ Bishop scores at 12 hours were similar: 2 [1-3] for both groups, P=.657.
- Membrane sweeping reduced oxytocin use significantly: 63.8% vs 94.3%, P<.001.
- Participants undergoing membrane sweeping had a shorter delivery room stay: 8.9±6.0 vs 12.8±7.8 hours, P=.002.
- Delivery within 16 hours was more frequent with membrane sweeping: 35.1% vs 16.0%, P=.025.
Why it matters
Understanding the comparative effectiveness of cervical ripening methods is crucial for optimizing labor induction practices. Membrane sweeping offers a cost-effective and less invasive alternative that may enhance patient satisfaction and reduce the need for pharmacological interventions.