Efficacy of Stretch and Sweep at Term to Promote Spontaneous Labor: Narrative Review

Abstract Objective: To evaluate the efficacy and safety of stretch and sweep procedures for promoting spontaneous labor at term pregnancy through a narrative review of the literature. Methods: A narrative review was conducted by searching relevant studies from various databases to investigate the use of stretch and sweep for labor induction at term. Studies were included if they assessed the success rates of stretch and sweep in initiating spontaneous labor, compared outcomes with expectant management, and reported on maternal and neonatal safety data. Results: Studies reported varying success rates of stretch and sweep in women experiencing spontaneous labor within 48 hours after the procedure compared to expectant management. The procedure may reduce the need for formal induction methods. Mild discomfort, cramping, and vaginal bleeding were found as potential side effects. No significant increase in maternal or fetal deaths was reported. Studies haven't shown a negative impact on neonatal outcomes. Conclusion: Stretch and sweep appears as a moderately successful and non-pharmacological method for promoting spontaneous labor at term. While it can be a suitable option for some women, individual factors and potential risks should be considered by healthcare providers before recommending the procedure. Further, well-designed studies are warranted to confirm the long-term efficacy and safety of stretch and sweep, particularly regarding optimal timing, frequency, and suitability for specific patient populations. Keywords: Stretch and Sweep; Membrane Sweep; Spontaneous Labor Induction; Cervical Ripening; Cervical Effacement.