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Talk about every stage of pregnancy, from early symptoms to preparing for birth.

membrane/ stretch and sweep did it work for you? how did you feel after??

126 replies

Donna1989 · 16/10/2013 08:41

just wondering what everyones views/ opinions are on stretch and sweep how many did you have? did they work with you? how did you feel after one or the next day?? don't hold back on too much infomation.... Smile

OP posts:
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FrameyMcFrame · 17/10/2013 22:16

no it didn't work

BigBirthdayGloom · 18/10/2013 08:09

I had one with dd2 (who was dc 3). I did give birth 15 hours later but I was a week overdue so it's hard to say if it worked or nature took its course. What I would say is that I didn't find it too grim and actually said "is that it?" After the horror stories I'd heard. Mw laughed and said she'd been very thorough!

MillyONaire · 18/10/2013 10:26

I had one on DC#2. It was 16 days before the due date and he arrived quite quickly within 48 hours. The labour was much much more painful than with DC#1 (when I did not have a sweep) and made me realise how lightly I'd got off with DC#1!

elcranko · 18/10/2013 10:33

I had two sweeps when overdue and neither were successful. The MW did tell me each time that I wasn't very favourable so not to really expect anything, and she was right.

As others have said, if you're not far off labour anyway then a sweep might be all that's needed to push you into labour.

Bumblebzz · 18/10/2013 10:40

I had one a day for a week, still went overdue, made zero difference.
Even the long walk to and from the hospital didn't help.

The only positive is if it makes you feel better because you are "doing" something, but if I was back again I would have a pedicure, or read a magazine, or watch TV.

Playdoughcaterpillar · 18/10/2013 13:33

Think the most effective ones hurt the most. I went over dates with both my pregnancies, first baby cervix was unfavourable so couldn't do proper sweep - ended up with induction. Second baby had 4 sweeps over 2 weeks, but was already 3cm for the last 2, went into labour gradually the day of the fourth sweep. Had it about 10 am, totally manageable period pain all day till after 7pm, went to hospital 10.30 and baby born 01:30. If you are happy to have a go don't think there's much to loose but IME they are much more painful than a smear esp if done well! Have your bag with you just in case!

soontobemumofthree · 18/10/2013 14:47

I just counted and I've had 10!

For my first baba I had 3 - nil started, I was induced, I didn't feel my body was ready - but all ended well 36 hours later.
Second baba overdue - had 4 stretch and sweeps - took one everytime I was offered - all past my due date. Not keen on them but thought I'd give them a go! One by a doctor - hardly felt him doing it ?was it ever going to work? One "vigorous" one by midwife who was determined it would work - they didn't - was induced
Third baba (need to update my nickname!) 3 sweeps, labour started 17 days overdue, 2 days after last sweep - I don't think the sweep made any difference. Body was ready. Not advocating going this far overdue btw.

However didn't find them that bad at all, bit worse than a smear. Take some deep breaths, might bleed a bit after but they gave me a pad.

neepsandtatties · 18/10/2013 15:12

5 days 'overdue'. Had sweep at 3pm, had light back pains at 9 pm, woke at midnight with mild but definite labour pains, slept til 8 am where pains started properly, went to hospital at 12 pm, baby born at 12.30 am that night.

So definitely worked for me!

worriedabout · 18/10/2013 18:44

If you can bear it have sex instead. It is the only thing that has an evidence base showing it works.

I had two sweeps with first child - absolutely not a thing.

With second child I shed my inner prude and made DH do his bit. It worked too.

ringaringarosy · 18/10/2013 19:17

i dont think ANYTHING works unless the baby and your body is ready.

I have had sex almost every day in all my pregnancies except the 3rd and mine were all 2 weeks late.

Want2bSupermum · 18/10/2013 21:56

Sweeps hurt a lot and didn't get baby coming either time. With DS it was terrible. His head was outside of my pelvis so first they tried to wedge him back in, then they gave me a sweep. Quite frankly next time I will do a round with Mike Tyson before I go through that again.

bigbuttons · 18/10/2013 22:56

I always remember with my 4th, I was going for a sweep and my doula said "oh look he's( the consultant) has got really big hands and long fingers,it'll work" and it did.
I must say with all my 6, sometimes it worked, sometimes it didn't.

IsSpringSprangedYet · 19/10/2013 08:12

I only had one with my first pregnancy as I was getting quite overdue. The midwife couldn't reach my cervix as it was too far back. It was uncomfortable but no more so than a smear test, IMO. It did something though as I went into labour that night. Haven't had to have one since.

MrsKoala · 19/10/2013 08:47

I went overdue by 10 days but had been having contractions from 12-7am every night for the previous week (getting down to 3.5 mins apart every morning) and then had a s&s. Nothing (apart from horrific discomfort) happened. Then another at 12 days (a friday at 6pm - very painful again). MW also booked me in with an induction for the monday at the same time as she did the s&s, in case nothing happened all weekend. Monday morning i was induced and went into labour. Wednesday afternoon DS decided to show up Shock . He still ended up being dragged out with forceps and even STILL managed to get his shoulder stuck in my pelvis on the way out Confused which meant even more pulling - Some people just don't know when it's time to leave a party!

After all the horror of my labour - the pain, the endurance, the deep tearing, the cutting, the week in hospital, the double incontinence for 2 months after - the only part of it i think back on with utter dread and say never again is the S&S. I'd have a 9 month pregnant stand up fist fight if someone came at my fanny and wanted to do that again. I think i'd have to be sedated at the very least.

RedToothBrush · 19/10/2013 09:07

Glad to see the scientific evidence on this thread Hmm

There is not one person this thread who can say it worked for them as they do not have an evidence of what would have happened if they hadn't had it.

Therefore all the anecdotal comments reflect the psychological impact of having a sweep rather than whether it actually works.

This isn't unimportant but it is important to realise what you are reading so you can make a decision about whether you might want one.

Cochrane Report

Sweeping the membranes is effective in bringing on labour but causes discomfort, some bleeding and irregular contractions.

Sweeping the membranes during a cervical examination is done to bring on labour in women at term. The review of trials found that sweeping brings on labour and is generally safe where there are no other complications. Sweeping reduces the need for other methods of labour induction such as oxytocin or prostaglandins. The review also found that sweeping can cause discomfort during the procedure, some bleeding and irregular contractions.

Abstract
Background:

Sweeping of the membranes, also named stripping of the membranes, is a relatively simple technique usually performed without admission to hospital. During vaginal examination, the clinician's finger is introduced into the cervical os. Then, the inferior pole of the membranes is detached from the lower uterine segment by a circular movement of the examining finger. This intervention has the potential to initiate labour by increasing local production of prostaglandins and, thus, reduce pregnancy duration or pre-empt formal induction of labour with either oxytocin, prostaglandins or amniotomy. This is one of a series of reviews of methods of cervical ripening and labour induction using standardised methodology.

Objectives:
To determine the effects of membrane sweeping for third trimester induction of labour.

Search strategy:
We searched the Cochrane Pregnancy and Childbirth Group trials register (6 July 2004) and bibliographies of relevant papers.

We updated this search on 31 July 2009 and added the results to the awaiting classification section.

Selection criteria:
Clinical trials comparing membrane sweeping used for third trimester cervical ripening or labour induction with placebo/no treatment or other methods listed above it on a predefined list of labour induction methods.

Data collection and analysis:
A strategy was developed to deal with the large volume and complexity of trial data relating to labour induction. This involved a two-stage method of data extraction.

Main results:
Twenty-two trials (2797 women) were included, 20 comparing sweeping of membranes with no treatment, three comparing sweeping with prostaglandins and one comparing sweeping with oxytocin (two studies reported more than one comparison). Risk of caesarean section was similar between groups (relative risk (RR) 0.90, 95% confidence interval (CI) 0.70 to 1.15). Sweeping of the membranes, performed as a general policy in women at term, was associated with reduced duration of pregnancy and reduced frequency of pregnancy continuing beyond 41 weeks (RR 0.59, 95% CI 0.46 to 0.74) and 42 weeks (RR 0.28, 95% CI 0.15 to 0.50). To avoid one formal induction of labour, sweeping of membranes must be performed in eight women (NNT = 8). There was no evidence of a difference in the risk of maternal or neonatal infection. Discomfort during vaginal examination and other adverse effects (bleeding, irregular contractions) were more frequently reported by women allocated to sweeping. Studies comparing sweeping with prostaglandin administration are of limited sample size and do not provide evidence of benefit.

Authors' conclusions:
Routine use of sweeping of membranes from 38 weeks of pregnancy onwards does not seem to produce clinically important benefits. When used as a means for induction of labour, the reduction in the use of more formal methods of induction needs to be balanced against women's discomfort and other adverse effects.

[Note: The 11 citations in the awaiting classification section of the review may alter the conclusions of the review once assessed.]

Key Point in the above, highlighted so no one misses it:
To avoid one formal induction of labour, sweeping of membranes must be performed in eight women (NNT = 8).

JugglingFromHereToThere · 19/10/2013 10:44

I think it's interesting they summarise the experience of 2,797 women having sweeps (though some of those may have been in a no sweep control group ?) mainly with the word "discomfort"
Judging from this thread I'd think some might well have put it more strongly than that.
This might well be a scientific study but I think it actually needs more "anecdotal evidence" - more accounts of what the experience was like for individual women in their own words. I think it's called qualitative research as compared to quantitative research?

marriedinwhiteisback · 19/10/2013 10:57

Indeed so 7 women must suffer to prevent one woman from having a chemically induced labour.

How many midwives actually share that with women. My prostaglandin pessary and oxytocin drip were painless (I refused to let them put up the drip before an epidural) and resulted in a baby with an Apgar score of 9.5 - all those years ago.

One wonders why midwives continue to suggest this in light of the statistics.

Donna1989 · 19/10/2013 10:59

indeed I agree with that xxx

OP posts:
RedToothBrush · 19/10/2013 11:02

Married, thats exactly my point. Are women being told the information they should with regards to consent? Is it clear enough?

And yes I do agree with your point too juggling - I stressed that - its just you need to use the two forms of information together and not neglect the other in order to make a fully informed decision.

Bellbird · 19/10/2013 16:03

The day prior to my scheduled stretch and sweep my dh and I decided we'd try a more 'natural' way to get things going. We had felt we were being ushered along by a system that didn't really acknowledge that large heads were a family trait and they'd brought my dates back by a fortnight (based on scan size rather than my uber regular menstrual cycle) from what we expected. As it turned out, my ds was born not in the least bit overdue, but, surprise surprise he did have a large head. The midwife then said that's why they thought he was overdue - duh. I was glad that the sex worked for us (it's something in the semen). Although when you're that far gone don't feel guilty/bad/grossed out if you'd prefer a sweep as it very much depends on so many other things going on! Good luck and I hope things work out fine for you and your baby.

ringaringarosy · 19/10/2013 16:25

just because you dont have a sweep,it doesnt mean you have to be induced,you dont have to be induced at any point if you dont want to,my first was born at 43 weeks as i refused induction.You need to look into these things for yourself,weigh up the risks and see how you feel about them.

For example,they told me the risk of stillbirth DOUBLES after 42 weeks,that sounds scary but it doubles from 1 in 1000 to 2 in 1000,which somehow doesnt seem as much of a difference,its like it goes from extremely rare to very rare.

GuybrushThreepwoodMP · 19/10/2013 22:59

Yes- but only because I was already in labour but it was progressing SLOWLYYYYYY... It did seem to kick things off a bit.

totallystuck · 20/10/2013 02:50

I have 3 buy my cervix was always too high and she couldn't do anything. I went into labour at 42+2 weeks, 1 hour before I was supposed to go in for induction and after I had deflated my birth pool (asI had a home birth!)

MrsMuskett · 20/10/2013 16:24

I had mine fri,it was uncomfortable but bearable. Had some mild brown discharge and a few pains after,but nothing major. Just been for a wee and lost my plug, so hopefully things are happening as I'm 40+2 now x

Sa334qe1 · 04/09/2014 13:37

I had a stetch and sweep yesterday and just wanted to reassure anyone who might be feeling nervous that it is ok, not the most fantastic way to spend your time but really nothing to be too worried about :)