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

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.

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.

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