Serial Membrane Sweeping at term in planned Vaginal Birth After Caesarean

Serial weekly membrane sweeping at term in women who planned vaginal birth after one caesarean delivery: a randomised trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN55163179

Enrollment

211

Registered

2009-05-13

Start date

2007-09-07

Completion date

Unknown

Last updated

2015-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Planned vaginal birth after caesarean Pregnancy and Childbirth Single spontaneous delivery

Interventions

Weekly cervical stretching and membrane stripping (membrane sweeping) from greater than 36 weeks gestation versus weekly gentle vaginal examination (control). Random allocation to membrane sweeping o

Eligibility

Sex/Gender

Female

Inclusion criteria

Inclusion criteria: Pregnant women with the following characteristics: 1. One previous transverse lower segment caesarean scar 2. Singleton pregnancy 3. Foetus in cephalic presentation 4. Intact membranes 5. Gestational age greater than 36 week 6. Agreed to a trial of vaginal birth 7. Passed physician screening for a trial of vaginal birth

Exclusion criteria

Exclusion criteria: Otherwise eligible women with the following are excluded: 1. Placenta praevia 2. Suspected foetal macrosomia 3. Suspected cephalopelvic disproportion 4. Abnormal foetal lie 5. Obstructive pelvic masses

Design outcomes

Primary

Measure	Time frame
Spontaneous labour, defined as: 1. Regular painful contractions that had resulted in at least 3 cm of cervical dilation, or 2. Confirmed pre-labour rupture of membranes	—

Secondary

Measure	Time frame
1. Caesarean delivery 2. Formal labour induction 3. Recruitment to delivery interval 4. Gestational age at delivery 5. Number of membrane sweep or control sessions conducted 6. Bishop score at each session 7. Unscheduled hospitalisation 8. Significant antepartum haemorrhage 9. Prostaglandin and oxytocin use 10. Duration of hospitalisation at birth 11. Epidural analgesia 12. Neonatal outcomes of umbilical artery blood pH, Apgar score at 5 minutes and birth weight All obtained by the time of discharge from hospital after birth, i.e., no later than 6 weeks after enrolment.	—

Measure

Time frame

1. Caesarean delivery 2. Formal labour induction 3. Recruitment to delivery interval 4. Gestational age at delivery 5. Number of membrane sweep or control sessions conducted 6. Bishop score at each session 7. Unscheduled hospitalisation 8. Significant antepartum haemorrhage 9. Prostaglandin and oxytocin use 10. Duration of hospitalisation at birth 11. Epidural analgesia 12. Neonatal outcomes of umbilical artery blood pH, Apgar score at 5 minutes and birth weight All obtained by the time of discharge from hospital after birth, i.e., no later than 6 weeks after enrolment.

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Countries

Malaysia

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Apr 2, 2026