Membrane Stripping for Cervical Ripening

Evaluation of Stripping for Cervical Ripening - A Randomized Controlled Study

The goal of this interventional study is to evaluate the effectiveness of membrane stripping in cervical ripening compared to double balloon catheter induction.

The study population consists of women undergoing labor induction.

The main questions it aims to answer are:

1. Is membrane stripping as effective as double balloon catheter induction in cervical ripening?
2. What is the influence of membrane stripping on the time required for cervical ripening, delivery duration, and maternal and fetal outcomes compared to balloon induction.

Inclusion Criteria:

• Patients aged 18 and above
• Patients with a cervical dilation of at least 1 cm
• Full-term pregnancy
• Cephalic presentation
• No contraindication to vaginal delivery

Exclusion Criteria:

• Patients with rupture of membranes
• Patients who do not require cervical ripening and proceed directly to the delivery room for induction with oxytocin
• Patients for whom the use of a double-balloon catheter/PGE2 is contraindicated
• Twin pregnancies
• Pregnancies with macrosomic fetuses where vaginal delivery is contraindicated
• Patients with maternal or fetal pathologies that do not allow for vaginal delivery due to concerns about fetal or maternal distress