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Membrane Sweep

Your questions on having membrane sweep during pregnancy answered with advice on what membrane sweeping is and why your midwife may suggest it.


Discuss membrane sweep on our forums, right now! Or, post a comment below.

What is a membrane sweep?

A membrane sweep is one of the more 'natural' means of encouraging your baby to arrive if you have passed your due date with no sign of labour starting on its own. They are often offered to pregnant women as a first alternative as they can significantly increase the chance that your baby will arrive within the next 48 hours and thereby reduce the need for other, more chemically based, methods of labour induction such as prostin gel or ARM (artificial rupture of the membranes).

How are they carried out?

Usually, a membrane sweep will be carried out by your doctor or midwife either while you're at home or in the doctors surgery itself. They are performed during an internal examination and involve your midwife inserting a finger into your cervix (to stretch it a little) and then making a firm, circular, sweeping movement around the neck of your womb. This movement helps to separate your cervix from the membranes of the sac that is currently housing your baby, and is a procedure that helps to stimulate the release of prostaglandins - the hormones that signal to your brain that it's time to start labour.

How effective is a membrane sweep?

There is no guarantee that having a membrane sweep will induce labour, its effectiveness will ultimately depend on how ready your body is to give birth. To gauge this, when examining you internally your midwife will feel for your cervix; it if has begun to soften and efface then a membrane sweep is more likely to succeed as your body has already started to prepare for labour. However, if your midwife has trouble feeling your cervix because it's still sitting high a membrane sweep is less likely to be effective and in some cases your midwife may suggest you wait a little longer before having a sweep.

Opinions vary greatly as to whether membrane sweeps should be routinely given to women who are overdue. So, as with most things maternity related, whether you will be offered one should you go past your due date will largely depend on your midwife. However, it is important to note that even if your midwife suggests a membrane sweep, if you don't feel comfortable with the procedure and would prefer your baby to arrive in his or her own time, you are perfectly within your rights to decline.

What are the risks?

Having your 'membranes swept' does not increase the likelihood of infection for you or your baby. It may however cause light spotting or irregular contractions afterwards. Additionally, the extent to which the membrane sweep will feel uncomfortable differs from woman to woman and while some find it absolutely fine, others experience more discomfort.

Your midwife will be able to provide you with more information on the suitability of membrane sweeping for your individual circumstances should the need arrive and will explain all of your options if baby is taking his or her time to arrive.

Have you been offered a membrane sweep to start off your labour or have you experienced one before in a previous pregnancy? Why not share your questions, advice and concerns with other Mums and Dads to be in the Askbaby forums.

Your Comments

We would love to hear your comments or views on this subject. If you would like to ask a question or start a discussion, please post a topic in our Labour and Birth forum.
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I am expecting my third baby in September. I had 2 sweeps with my first baby and 1 with my second. I found the first to be uncomfortable but the others were fine and very effective. Please don't dismiss this option as it can be very different from person to person. I wanted to try this before any further intervention was necessary. If you feel uncomfortable with the proceedure ask the Midwife/Doctor to stop and try something else.
added by MichelleR [Tue 6th May 2008 @ 12:11:34]
I now have a 9wk old baby who was 9 days overdue, and like many mums It was sprung on me the day of my 40 week check up that I would need a membrane sweep to get things moving, this was one of the most painfull things (besides giving birth ) I have experienced ever, and I think because my husband wasnt with me that day made it even worse, not to scare anyone who has been told they may need to have one but it feels as though they are pulling your baby out for you without a dialated cervix. Although I have spoken to other women who found the experience to be quite ok and not painfull at all so as they say results may vary , this procedure did not work for me and I went into yet another week of pregnancy (a very sore week at that.) So my advice is to ask for the Prostin Gel
added by MyMeggie [Wed 23rd Apr 2008 @ 08:30:48]
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