Infection, Sepsis
Conditions
Keywords
Membrane sweeping, Membrane stripping, Maternal outcomes, Neonatal outcomes
Brief summary
This study aim to estimate maternal and neonatal outcomes after membrane sweeping in different group of patients.
Detailed description
Sweeping of the membranes is a simple technique usually performed during vaginal examination, in order to initiate labour by increasing local production of prostaglandins.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Women with a singleton pregnancy and confirmed cephalic presentation at or after 37 weeks of gestation who are candidate for vaginal delivery were eligible for the study
Exclusion criteria
* Women with a multiple pregnancy, nonreassuring cardiotocogram, meconium stained amniotic fluid, major fetal anomalies, HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome, or severe preeclampsia and signs of intrauterine infections were not eligible. * women who are not candidates for vaginal delivery: placenta previa, breech presentation, planned repeat cesarean.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Neonatal sepsis | Neonates will be followed for the duration of hospital stay, an expected average of 2-3 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Neonatal infection | Neonates will be followed for the duration of hospital stay, an expected average of 2-3 days | Neonates with two or more of the following signs: Altered behaviour or responsiveness, Altered muscle tone (floppiness), Feeding difficulties, Feed intolerance (vomiting, excessive gastric aspirates, abdominal distension), Abnormal heart rate (bradycardia or tachycardia), Signs of respiratory distress, Hypoxia (central cyanosis or reduced oxygen saturation level), Jaundice, Apnoea, Signs of neonatal encephalopathy, Seizures, Need for cardio-pulmonary resuscitation, Low-temperature (lower than 36°C), High-temperature (higher than 38°C), Signs of shock, Unexplained excessive bleeding, thrombocytopenia or abnormal coagulation, Oliguria, Altered glucose homeostasis (hypoglycaemia or hyperglycaemia), Metabolic acidosis, Local signs of infection. |
Countries
Israel