| Methods |
Random allocation based on a computer generated sequence. Concealment of allocation by sealed envelopes opened after entry into the trial. |
| Participants |
Low‐risk nulliparous women at 38 weeks (dates confirmed in early gestation) with an open cervix. Absence of infection, placenta praevia, PROM, cephalopelvic disproportion. |
| Interventions |
Membrane sweeping or gentle vaginal examination performed by the same physician. |
| Outcomes |
Main endpoint: spontaneous labour before or at 40 completed weeks (< 41 weeks or 287 days).
Other: labour induction, spontaneous labour within 48 hours and 7 days, PROM, mode of delivery, vaginal cultures. |
| Notes |
> 40 completed weeks was interpreted as > 286 days of gestation. |
| Risk of bias |
| Bias |
Authors' judgement |
Support for judgement |
| Allocation concealment? |
Low risk |
A ‐ Adequate |
