Induction of labour Pregnancy and Childbirth
Conditions
Interventions
A training session was developed for community midwives to try to improve the numbers of women offered and accepting membrane sweeping to reduce induction of labour when the baby is due (term). Nation
Sponsors
Birmingham Women's NHS Foundation Trust
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Community midwifery teams were included in Trusts/ Units where membrane sweeping was felt not to be done according to NICE and Trust Guidance 2. Eligible women included all those who gave birth over 39+3 weeks at BWNFT or BHH within the study period (March to November 2012). Women were included who gave birth after 39+3 weeks (rather than over 40 weeks) as it is plausible that women were not swept on exactly the correct day (i.e. 40 or 41 weeks), so a sweep from 39+4 to 40+3 was considered a sweep at 40 weeks, and 40+4 to 41+3 was considered a sweep at 41 weeks
Exclusion criteria
Exclusion criteria: 1. Community midwifery teams already undertaking membrane sweeping or women who were not eligible for membrane sweeping 2. Women were excluded if they were from outside the area or had an elective CS.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Proportion of women offered and accepting a membrane sweep 2. Average number of sweeps per women Data was extracted from hospital notes | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Onset of labour 2. Mode of birth 3. Adherence to Trust guidance 4. Sweeps offered but declined 5. Location of the sweep (community or hospital) 6. Reason if sweeping was abandoned Data was extracted from hospital notes | — |
Countries
United Kingdom
Outcome results
None listed