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Sweeping of membranes vs. intracervical prostaglandin E2 gel for cervical ripening. Randomized trial
O Gemer1, V Kapustian, D Harari
1Department of Obstetrics and Gynecology, Barzilai Medical Center, Ben-Gurion University of the Negev, Ashkelon, Israel. gemer@barzi.health.gov.il
Objective:
To compare intracervical prostaglandin E2 gel and membrane sweeping for cervical ripening.
Study Design:
Fifty patients were randomized to either intracervical prostaglandin E2 or membrane sweeping. A Bishop score was assigned by a blinded examiner prior to and 24 hours following the procedure.
Results:
The Bishop scores assigned 24 hours after prostaglandin instillation and membrane sweeping were not significantly different (3.4, SE 0.42, vs. 3.3, SE 0.37, respectively; P > .05). The proportions of women entering active labor or delivering within 24 hours were similar in the prostaglandin and membrane groups (21% and 19%, respectively; P > .05).
Conclusion:
When both intracervical prostaglandin insertion and membrane sweeping are feasible, their salutary effects are comparable.