Objective: To compare intracervical prostaglandin E2 gel and membrane sweeping for cervical ripening.
Study design: Fifty patients were randomized to either intracervical prostaglandin E2 or membrane sweeping. A Bishop score was assigned by a blinded examiner prior to and 24 hours following the procedure.
Results: The Bishop scores assigned 24 hours after prostaglandin instillation and membrane sweeping were not significantly different (3.4, SE 0.42, vs. 3.3, SE 0.37, respectively; P > .05). The proportions of women entering active labor or delivering within 24 hours were similar in the prostaglandin and membrane groups (21% and 19%, respectively; P > .05).
Conclusion: When both intracervical prostaglandin insertion and membrane sweeping are feasible, their salutary effects are comparable.