What Is Stripping of Membranes?
Stripping the membranes is a procedure done by doctors and professional midwives to induce labor. It is typically attempted in women who are 40 or more weeks pregnant.
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Process
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Stripping the membranes is done carefully and gently in a pelvic exam, by a care provider who sweeps a gloved finger around the cervix to separate the amniotic membrane from the lower uterine wall. This does not equate to "breaking the waters," though in some cases that can occur. This technique is thought to release prostaglandins, which bring about contractions and soften the cervix, according to the American Congress of Obstetricians and Gynecologists. Labor may commence within a few hours, or a few days, or not at all.
Candidacy
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Physicians and midwives will take into account the overall health of the mother and baby before attempting to strip the membranes. A healthy, pregnant woman who is full-term but not more than 42 weeks pregnant and who has no infections or any prior bleeding history may be a good candidate.
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Discomfort
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Stripping membranes can cause uncomfortable cramping, according to the American Congress of Obstetricians and Gynecologists. Stripping the membranes may be done in your doctor's office or in the hospital. If bleeding becomes heavier than a normal menstrual period, call your doctor.
Concerns
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Controversy continues regarding the effectiveness and indication for stripping the membranes. Informed consent is usually given by a woman who is beyond her due date. The procedure does not always work, which can lead to frustration.
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References
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- Photo Credit pregnant woman image by TEA from Fotolia.com
