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  • Original Article
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Membrane Sweeping versus Dinoprostone Vaginal Insert in the Management of Pregnancies beyond 41 Weeks with an Unfavorable Cervix

Journal of Perinatology volume 19, pages 88–91 (1999)Cite this article

Abstract

OBJECTIVE:

To determine the best method of cervical ripening to prevent postdate inductions in women with an unfavorable cervix at 41 weeks’ gestation.

STUDY DESIGN:

Women presenting at 41 weeks’ gestation with a Bishop score of ≤4 received daily dinoprostone (Cervidil) vaginal inserts (group I) or daily membrane sweeping (group II).

RESULTS:

One-hundred and eighty-two women were prospectively randomized with 91 women in each arm. The women in group II, membrane sweeping, had Bishop scores significantly greater on admission for delivery (p < 0.001), had less time elapsed from admission to delivery (p = 0.018), and had fewer labor inductions at 42 weeks (p = 0.04) than the women in group I, the dinoprostone group. In addition, a greater number of women in group II were admitted in spontaneous labor (p = 0.006) than in group I. Total antenatal costs for the membrane sweeping group was $15,120 versus $59,540 for the dinoprostone group.

CONCLUSION: Daily membrane sweeping was more effective than dinoprostone administration with fewer postdate inductions at one-fourth the cost.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Naval Medical Center, San Diego

    Michael F McNamara DO & Colleen M Estes RN

  2. University of Mississippi Medical Center, Jackson, Mississippi

    Everett F Magann MD, J David Bass PhD & John C Morrison MD

  3. the Medical College of Georgia, Augusta, GA

    Suneet P Chauhan MD

Authors
  1. Everett F Magann MD
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  2. Suneet P Chauhan MD
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  3. Michael F McNamara DO
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  4. J David Bass PhD
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  5. Colleen M Estes RN
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  6. John C Morrison MD
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Additional information

Presented at the 18th Annual Meeting of the Society of PerinatalObstetricians, Miami Beach, FL, February 1998.

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Magann, E., Chauhan, S., McNamara, M. et al. Membrane Sweeping versus Dinoprostone Vaginal Insert in the Management of Pregnancies beyond 41 Weeks with an Unfavorable Cervix. J Perinatol 19, 88–91 (1999). https://doi.org/10.1038/sj.jp.7200133

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  • DOI: https://doi.org/10.1038/sj.jp.7200133

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