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To Compare Sweeping of Membranes Versus Expectant Management for Spontaneous Onset of Labor and Vaginal Delivery.

Comparison of Spontaneous Onset of Labor and Vaginal Delivery in Post-date Primigravida Undergoing Sweeping of Membranes Versus Expectant Management

Status
Not yet recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06949787
Enrollment
132
Registered
2025-04-29
Start date
2025-05-01
Completion date
2025-10-31
Last updated
2025-04-29

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

Conditions

Post-Term Pregnancy

Brief summary

The study is planned to fill the gaps regarding the effectiveness of sweeping of membranes versus expectant management in terms of spontaneous onset of labor and vaginal delivery in post-date primigravida.

Detailed description

This study is important as it provides localized data on the effectiveness and practicality of membrane sweeping in a low-resource setting, which is underrepresented in current literature. Potential benefits of this research may include reduced need for formal labor induction, lower healthcare costs, and improved maternal and neonatal outcomes. The findings may enhance clinical practices by offering an evidence-based, patient-friendly approach to managing postdate pregnancies, particularly in resource-limited settings where induction facilities are constrained.

Interventions

PROCEDUREMembrane sweeping

Participants in the membranes sweeping group will receive membrane sweeping. If labor will not initiate within 48 hours, the procedure will be repeated up to a maximum of three times at 48-hour intervals.

Sponsors

Muhammad Aamir Latif
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
No

Inclusion criteria

* Primigravid women * Aged between 18 and 40 years * Gestational age ≥40 weeks, confirmed by ultrasound or early dating scan * Singleton pregnancies * Cephalic presentation

Exclusion criteria

* Multiple gestations * Fetal distress or anomalies detected on ultrasound * Contraindications to vaginal delivery (e.g., placenta previa, previous uterine surgery) * Previous uterine scar

Design outcomes

Primary

MeasureTime frameDescription
Spontaneous onset of labor and vaginal delivery6 daysThe occurrence of regular uterine contractions (contractions occurring every 3-5 minutes, each lasting 30-60 seconds, and progressively increasing in intensity) leading to cervical changes without any form of labor induction will mark the achievement of spontaneous onset of labor.

Countries

Pakistan

Contacts

Primary ContactAisha Ashraf
draisha2020@outlook.com+923059501195
Backup ContactTahir Riaz, FCPS
riaztahira3@gmail.com+923237426210

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026