Membrane sweeping combined with cervical massage can be used for term pre-induction cervical ripening

Cervical region massage involves applying light pressure to the cervix to trigger uterine contractions. Membrane sweeping, aka cervical sweeping or membrane stripping, releases hormones that trigger labor by removing the amniotic sac from the uterine wall. Recent research compared the effectiveness of membrane sweeping and cervical massage as cervical ripening techniques in post-dated pregnancies before labor induction in specialized clinics.

The study included 150 low-risk singleton pregnancies with a Modified Bishop Score (MBS) of fewer than five at 38 weeks of gestation. The experimental group received membrane sweeping with cervical massage, and the control group received only membrane sweeping. Changes in the MBS were noted 48 hours after the intervention. 

The study found-

•  Similar mean ages and MBS of the primigravidae in the two research groups at induction. 
• Significantly higher mean MBS in the trial group than in the control groups following the intervention.
• A substantial change in the MBS in the primigravidae after the operation. 
• Comparable adverse effects and neonatal morbidity in the experimental group, except more cardiotocographic abnormalities in the control group.

This study shows that in selected cases where membrane sweeping is not possible because of a closed cervical os, cervical massage combined with membrane sweeping can be used safely. This technique will help in cervical softening in post-dated pregnancies.

 Supriya M S, Mylsamy K, Sekar S, et al. Assessing the effectiveness of membrane sweeping combined with cervical massage for term pre-induction cervical ripening: A single experimental study. Indian J Obstet Gynecol Res. 2024;11(1):47-52