Membrane stripping to prevent post-term pregnancy in Enugu, Nigeria: a randomized controlled trial
Objectives This study aimed at evaluating the effectiveness and safety of membrane stripping at 40–41 weeks of gestation as a means of preventing post-term pregnancy and the need for formal induction of labor in Enugu, Nigeria. Methodology A randomized controlled trial of 134 post-date pregnant wome...
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| Veröffentlicht in: | Archives of gynecology and obstetrics 2014, Vol.289 (1), p.29-34 |
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| container_title | Archives of gynecology and obstetrics |
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| creator | Ugwu, Emmanuel Onyebuchi Obi, Samuel Nnamdi Iferikigwe, Eric Sunday Dim, Cyril Chukwudi Ezugwu, Frank Okechukwu |
| description | Objectives
This study aimed at evaluating the effectiveness and safety of membrane stripping at 40–41 weeks of gestation as a means of preventing post-term pregnancy and the need for formal induction of labor in Enugu, Nigeria.
Methodology
A randomized controlled trial of 134 post-date pregnant women at the University of Nigeria Teaching Hospital, Enugu, Nigeria, from February to November 2012. The intervention group received membrane stripping while the control group did not receive membrane stripping.
Results
The incidence of post-term pregnancy in the membrane stripping group was 16.1 % (10/62) versus 39.3 % (24/61) in the control group (RR 0.41; 95 % CI 0.22–0.78;
P
= 0.004; NNT = 4). Membrane stripping reduced the duration of pregnancy by 3 days (
P
|
| doi_str_mv | 10.1007/s00404-013-2918-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1490726855</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2261881219</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-df8b5416e98215c4220ed28082a821288ab5f584617c506494f3fcfd9110e6b13</originalsourceid><addsrcrecordid>eNp1kU1LxDAQhoMo7rr6A7xIwIsHqzNp2qbeZPELVr3oOaRtulTapCatoL_elPUDBE8ZJm-eeTMvIYcIZwiQnXsADjwCjCOWo4iSLTJHHrMIMsRtMod8qiHNZmTP-xcAZEKku2TG4izleRzPSXGvu8Ipo6kfXNP3jVnTwdLe6TdtBtpbP0SDdt3UWRtlynfaGHplxvV4Sh-atXaNuqCKBkRlu-ZDV7S0ZnC2bUMZkKrdJzu1ar0--DoX5Pn66ml5G60eb-6Wl6uojDM2RFUtioRjqnPBMCk5Y6ArJkAwFRrBuCqSOhE8xaxMINjndVyXdZUjgk4LjBfkZMPtnX0dtR9k1_hSt234nR29RJ5DxlKRJEF6_Ef6YkdngjvJWIpCIMM8qHCjKp313ula9q7plHuXCHIKQG4CkCEAOQUgJ_LRF3ksOl39vPjeeBCwjcCHKxP29zv6f-onkgCPaA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2261881219</pqid></control><display><type>article</type><title>Membrane stripping to prevent post-term pregnancy in Enugu, Nigeria: a randomized controlled trial</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Ugwu, Emmanuel Onyebuchi ; Obi, Samuel Nnamdi ; Iferikigwe, Eric Sunday ; Dim, Cyril Chukwudi ; Ezugwu, Frank Okechukwu</creator><creatorcontrib>Ugwu, Emmanuel Onyebuchi ; Obi, Samuel Nnamdi ; Iferikigwe, Eric Sunday ; Dim, Cyril Chukwudi ; Ezugwu, Frank Okechukwu</creatorcontrib><description>Objectives
This study aimed at evaluating the effectiveness and safety of membrane stripping at 40–41 weeks of gestation as a means of preventing post-term pregnancy and the need for formal induction of labor in Enugu, Nigeria.
Methodology
A randomized controlled trial of 134 post-date pregnant women at the University of Nigeria Teaching Hospital, Enugu, Nigeria, from February to November 2012. The intervention group received membrane stripping while the control group did not receive membrane stripping.
Results
The incidence of post-term pregnancy in the membrane stripping group was 16.1 % (10/62) versus 39.3 % (24/61) in the control group (RR 0.41; 95 % CI 0.22–0.78;
P
= 0.004; NNT = 4). Membrane stripping reduced the duration of pregnancy by 3 days (
P
< 0.001). The procedure also significantly reduced the need for ‘formal’ labor induction [7/62 (11.3 %) vs. 23/61 (37.7 %); RR 0.30; 95 CI 0.14–0.65;
P
= 0.002]. However, maternal and neonatal complications were similar between the two groups.
Conclusion
Membrane stripping reduces the incidence of post-term pregnancy and need for formal induction of labor in post-date pregnant women, without increased maternal or neonatal complications.</description><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-013-2918-5</identifier><identifier>PMID: 23764933</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Clinical trials ; Endocrinology ; Extraembryonic Membranes ; Female ; Gynecology ; Human Genetics ; Humans ; Induced labor ; Labor, Induced - methods ; Maternal-Fetal Medicine ; Medicine ; Medicine & Public Health ; Nigeria ; Obstetrics/Perinatology/Midwifery ; Pregnancy ; Pregnancy, Prolonged - prevention & control ; Treatment Outcome ; Young Adult</subject><ispartof>Archives of gynecology and obstetrics, 2014, Vol.289 (1), p.29-34</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><rights>Archives of Gynecology and Obstetrics is a copyright of Springer, (2013). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-df8b5416e98215c4220ed28082a821288ab5f584617c506494f3fcfd9110e6b13</citedby><cites>FETCH-LOGICAL-c372t-df8b5416e98215c4220ed28082a821288ab5f584617c506494f3fcfd9110e6b13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00404-013-2918-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00404-013-2918-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23764933$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ugwu, Emmanuel Onyebuchi</creatorcontrib><creatorcontrib>Obi, Samuel Nnamdi</creatorcontrib><creatorcontrib>Iferikigwe, Eric Sunday</creatorcontrib><creatorcontrib>Dim, Cyril Chukwudi</creatorcontrib><creatorcontrib>Ezugwu, Frank Okechukwu</creatorcontrib><title>Membrane stripping to prevent post-term pregnancy in Enugu, Nigeria: a randomized controlled trial</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>Objectives
This study aimed at evaluating the effectiveness and safety of membrane stripping at 40–41 weeks of gestation as a means of preventing post-term pregnancy and the need for formal induction of labor in Enugu, Nigeria.
Methodology
A randomized controlled trial of 134 post-date pregnant women at the University of Nigeria Teaching Hospital, Enugu, Nigeria, from February to November 2012. The intervention group received membrane stripping while the control group did not receive membrane stripping.
Results
The incidence of post-term pregnancy in the membrane stripping group was 16.1 % (10/62) versus 39.3 % (24/61) in the control group (RR 0.41; 95 % CI 0.22–0.78;
P
= 0.004; NNT = 4). Membrane stripping reduced the duration of pregnancy by 3 days (
P
< 0.001). The procedure also significantly reduced the need for ‘formal’ labor induction [7/62 (11.3 %) vs. 23/61 (37.7 %); RR 0.30; 95 CI 0.14–0.65;
P
= 0.002]. However, maternal and neonatal complications were similar between the two groups.
Conclusion
Membrane stripping reduces the incidence of post-term pregnancy and need for formal induction of labor in post-date pregnant women, without increased maternal or neonatal complications.</description><subject>Adult</subject><subject>Clinical trials</subject><subject>Endocrinology</subject><subject>Extraembryonic Membranes</subject><subject>Female</subject><subject>Gynecology</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>Induced labor</subject><subject>Labor, Induced - methods</subject><subject>Maternal-Fetal Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nigeria</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Pregnancy</subject><subject>Pregnancy, Prolonged - prevention & control</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0932-0067</issn><issn>1432-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU1LxDAQhoMo7rr6A7xIwIsHqzNp2qbeZPELVr3oOaRtulTapCatoL_elPUDBE8ZJm-eeTMvIYcIZwiQnXsADjwCjCOWo4iSLTJHHrMIMsRtMod8qiHNZmTP-xcAZEKku2TG4izleRzPSXGvu8Ipo6kfXNP3jVnTwdLe6TdtBtpbP0SDdt3UWRtlynfaGHplxvV4Sh-atXaNuqCKBkRlu-ZDV7S0ZnC2bUMZkKrdJzu1ar0--DoX5Pn66ml5G60eb-6Wl6uojDM2RFUtioRjqnPBMCk5Y6ArJkAwFRrBuCqSOhE8xaxMINjndVyXdZUjgk4LjBfkZMPtnX0dtR9k1_hSt234nR29RJ5DxlKRJEF6_Ef6YkdngjvJWIpCIMM8qHCjKp313ula9q7plHuXCHIKQG4CkCEAOQUgJ_LRF3ksOl39vPjeeBCwjcCHKxP29zv6f-onkgCPaA</recordid><startdate>2014</startdate><enddate>2014</enddate><creator>Ugwu, Emmanuel Onyebuchi</creator><creator>Obi, Samuel Nnamdi</creator><creator>Iferikigwe, Eric Sunday</creator><creator>Dim, Cyril Chukwudi</creator><creator>Ezugwu, Frank Okechukwu</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>2014</creationdate><title>Membrane stripping to prevent post-term pregnancy in Enugu, Nigeria: a randomized controlled trial</title><author>Ugwu, Emmanuel Onyebuchi ; Obi, Samuel Nnamdi ; Iferikigwe, Eric Sunday ; Dim, Cyril Chukwudi ; Ezugwu, Frank Okechukwu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-df8b5416e98215c4220ed28082a821288ab5f584617c506494f3fcfd9110e6b13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Clinical trials</topic><topic>Endocrinology</topic><topic>Extraembryonic Membranes</topic><topic>Female</topic><topic>Gynecology</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>Induced labor</topic><topic>Labor, Induced - methods</topic><topic>Maternal-Fetal Medicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nigeria</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Pregnancy</topic><topic>Pregnancy, Prolonged - prevention & control</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ugwu, Emmanuel Onyebuchi</creatorcontrib><creatorcontrib>Obi, Samuel Nnamdi</creatorcontrib><creatorcontrib>Iferikigwe, Eric Sunday</creatorcontrib><creatorcontrib>Dim, Cyril Chukwudi</creatorcontrib><creatorcontrib>Ezugwu, Frank Okechukwu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ugwu, Emmanuel Onyebuchi</au><au>Obi, Samuel Nnamdi</au><au>Iferikigwe, Eric Sunday</au><au>Dim, Cyril Chukwudi</au><au>Ezugwu, Frank Okechukwu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Membrane stripping to prevent post-term pregnancy in Enugu, Nigeria: a randomized controlled trial</atitle><jtitle>Archives of gynecology and obstetrics</jtitle><stitle>Arch Gynecol Obstet</stitle><addtitle>Arch Gynecol Obstet</addtitle><date>2014</date><risdate>2014</risdate><volume>289</volume><issue>1</issue><spage>29</spage><epage>34</epage><pages>29-34</pages><issn>0932-0067</issn><eissn>1432-0711</eissn><abstract>Objectives
This study aimed at evaluating the effectiveness and safety of membrane stripping at 40–41 weeks of gestation as a means of preventing post-term pregnancy and the need for formal induction of labor in Enugu, Nigeria.
Methodology
A randomized controlled trial of 134 post-date pregnant women at the University of Nigeria Teaching Hospital, Enugu, Nigeria, from February to November 2012. The intervention group received membrane stripping while the control group did not receive membrane stripping.
Results
The incidence of post-term pregnancy in the membrane stripping group was 16.1 % (10/62) versus 39.3 % (24/61) in the control group (RR 0.41; 95 % CI 0.22–0.78;
P
= 0.004; NNT = 4). Membrane stripping reduced the duration of pregnancy by 3 days (
P
< 0.001). The procedure also significantly reduced the need for ‘formal’ labor induction [7/62 (11.3 %) vs. 23/61 (37.7 %); RR 0.30; 95 CI 0.14–0.65;
P
= 0.002]. However, maternal and neonatal complications were similar between the two groups.
Conclusion
Membrane stripping reduces the incidence of post-term pregnancy and need for formal induction of labor in post-date pregnant women, without increased maternal or neonatal complications.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>23764933</pmid><doi>10.1007/s00404-013-2918-5</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Clinical trials Endocrinology Extraembryonic Membranes Female Gynecology Human Genetics Humans Induced labor Labor, Induced - methods Maternal-Fetal Medicine Medicine Medicine & Public Health Nigeria Obstetrics/Perinatology/Midwifery Pregnancy Pregnancy, Prolonged - prevention & control Treatment Outcome Young Adult |
| title | Membrane stripping to prevent post-term pregnancy in Enugu, Nigeria: a randomized controlled trial |
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