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Re: Stripping the membranesFrom: Malcolm Griffiths (Malcolm@MGRIFF22.demon.co.uk)Sat Feb 27 11:06:14 1999
In message <36D3DE22.3CDF@ultranet.ca>, Gloria Lemay <gloria_lemay@ultranet.ca> writes >In response to Dr. Paul-Andre's summation of the study on stripping the >membranes to prevent postmaturity in which he states "In summary, if you >do it you don't hurt. . . and if you don't do it you are not in the >false." Excuuuuuse me, if I had healthy, young males coming into my >office and started wrenching around on their lovely sensitive genitalia >causing "significant discomfort" and "minor side effects" such as >bleeding, I'm certain everyone on this list would call the cops and >report me for assault. The British have a great term which I don't hear >much in North America --it is "meddlesome midwifery" and it applies to >everyone who gets itchy fingers in obstetrics--the Brits are known to >slap away meddling hands. > I would disagree! My reading of the same metanalysis and my own reading of the various trials on the subject suggest that the "benefit" of stretch & sweep is of fewer pharmacological inductions needed. There seems little point in sweeping at 38 weeks on this basis. My reading in any case suggest that sweeping only "works" (in terms of shortening duration of pregnancy or reducing need for formal induction) after 40 weeks Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) Fax: 01582-497376 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk http://www.obgyn.net/board/griffith.htm "CLINICAL FREEDOM IS THE LAST REFUGE OF THE CLINICALLY INCOMPETENT!" (Tuffnell [1997])
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