Usually 3 – 5 rods are gently inserted together into the cervix and absorb the fluid from the surrounding tissue. the risks involved.ĭilapan-S® is a slim rod made of a synthetic firm gel. As will all options, consider why you are being offered a sweep and whether there is a good reason to accept one vs. We cannot know how many people go into labour because of a sweep vs how many would have gone into labour anyway as it is a very difficult area to study. There is also a risk of introducing infection or breaking waters prematurely, despite the fact your midwife should be taking every care to avoid both of these risks. It can feel very intrusive at a time when we need to be feeling safe and supported. In others, it could interfere with the steady hormonal build up to labour and have an impact on how it then starts and progresses. This option is sometimes framed as a ‘quick sweep’ which can make it feel like there can be no harm in doing it. This process can be repeated if you wish. This usually happens at your doctor’s surgery or wherever you have your antenatal appointments and you are then allowed to return home.
If it is not open or ‘ripe’, you may then be offered a ‘stretch and sweep’ where the midwife would use 2 fingers to sweep across the cervix to stimulate it to open and start labour. Vaginal examinations are offered to feel whether or not the cervix has started to soften and open. Imagine a balloon as the uterus, and the opening of the balloon is the cervix. The cervix is the opening of the uterus and the part that opens, or ‘dilates’ when labour starts. Let’s go through the types of induction and things to consider: N– Nothing, what if you were to do nothing and wait for a few minutes, hour, days or weeks? I– Instinct / intuition, what is yours saying, now that you know the above? R– Risks, what are they? (we need pure numbers and not just ‘the risk increases’)Ī – Alternatives, what are they? (there are always alternatives available) Use BRAIN acronym to have a conversation with your medical team and make sure you have all of the information to make an informed decision about your care:ī– Benefits, what are they? (proven benefits are needed here) But it is a good idea that they know all of their options so they can work through them with their care providers. It is worth noting not all methods will be available in all hospitals, and certain methods may not be suitable for their circumstances.
STRETCH AND SWEEP RISKS HOW TO
As with everything we do, this article has been written to educate about what induction of labour is, what options there are and how to make an informed decision on whether to accept an induction. Their hospital stay may be longer than with a spontaneous labour.Induction of labour is a choice that more and more parents are being asked to consider. Pharmacological methods of induction can cause hyperstimulation – this is when the uterus contracts too frequently or contractions last too long, which can lead to changes in fetal heart rate and result in fetal compromiseĪn induced labour may be more painful than a spontaneous labour
There may be a need for an assisted vaginal birth (using forceps or ventouse), with the associated increased risk of obstetric anal sphincter injury (for example, third- or fourth-degree perineal tears)
There may be limitations on the use of a birthing pool Their choice of place of birth will be limited, as they may be recommended interventions (for example, oxytocin infusion, continuous fetal heart rate monitoring and epidurals) that are not available for home birth or in midwife-led birth units Vaginal examinations to assess the cervix are needed before and during induction, to determine the best method of induction and to monitor progress
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