The cervix needs to be soft and slightly open already so that a finger can be inserted. Stretch refers to the process of stretching the cervix so it opens a little and sweep refers to separating the membranes from where they adhere around the cervix in the lower portion of the uterus. They will then feel for the membranes which are enclosing the baby and resting on your cervix. It also increases the likelihood of this being a painful, rather than uncomfortable procedure. A cervix which is high and closed is not ideal for a stretch and sweep. soft, beginning to dilate and effacing/ thinning. They will check if your cervix is what is known as “favourable” e.g. The midwife or doctor gently inserts two gloved fingers into your vagina and their forefinger through your cervix. If there is any change from normal or anything which does not seem right, then the stretch and sweep should not be done. The obstetrician or midwife will do an abdominal examination first and listen to the baby’s heartbeat. It is important to go to the toilet and empty your bladder beforehand. Parents need to feel fully informed of the benefits, risks and expected outcomes of having a stretch and sweep done. The midwife or obstetrician will explain the procedure and gain your consent. Sometimes a stretch and sweep causes contractions which don’t eventuate into labour but are painful nonetheless. Most women find they have a slight bleed and increase in mucousy vaginal discharge after the procedure.Having a stretch and sweep done can be painful, especially if the mother is not yet in labour.There is generally an increase in the risk of having a caesarean section delivery when a mother has any form of labour induction.When they start to breathe on their own their lungs need to inflate fully in order to breathe effectively. This helps with squeezing out excess amniotic fluid in and around their lungs.
One of the many benefits for babies when they are born vaginally is that their lungs are gently compressed by the uterine contractions. There is no evidence to show that having a stretch and sweep done increases the risk of infection to a mother or her baby. These include issues with the baby being able to regulate their own temperature, low birth weight, breathing problems and difficulty feeding. However, if the mother’s due date has been inaccurately assessed and she is not yet due to have her baby then complications relating to prematurity can occur. Generally this procedure is considered a completely safe and effective way of stimulating contractions in early labour.
This is a controversial topic and there is real variation of opinion whether this should occur. when a mother wants her baby to be born within a predictable time frame. To induce labour when the baby is overdue.Synthetic prostaglandin is available in tablet or gel form and this is an alternative way to deliver prostaglandin to the cervix. Prostaglandins role is to stimulate the uterus to begin contracting. The goal for having a stretch and sweep is to stimulate the production of the hormone prostaglandin which occurs naturally in the lining of the uterus. It is an alternative to other induction techniques such as artificial rupture of the membranes ( ARM) and/or a Syntocinon drip. It is generally done when a mother is past her due date or when labour needs to be induced because of (minor) obstetric complications. A stretch and sweep is one way of initiating labour and is considered a gentler, less invasive induction option. The term stretch and sweep may seem oddly familiar, but it’s got nothing to do with cleaning the kitchen floor! It is a procedure unique to pregnancy and
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