Sheffield 2018.

Trial name or title	Membrane sweeping in early labour and delivery outcomes.
Methods	Randomised controlled trial
Participants	Inclusion criteria Singleton pregnancy at or after 39 weeks' gestation, intact membranes, cephalic presentation, nulliparous, Bishop score < 7, English or Spanish speaking Exclusion criteria Prior uterine surgery precluding vaginal delivery, maternal condition precluding vaginal delivery, fetal anomaly, prior membrane stripping
Interventions	Two groups Group 1 Membrane sweeping Participants assigned to membrane sweeping will have an additional exam during their initial evaluation in which the membrane will be separated from the cervix and lower part of the uterus with a finger inserted into the cervical os. This would be done with at least 1 rotation counterclockwise and 1 rotation clockwise. Group 2 Control. Routine vaginal examination
Outcomes	Primary outcome measure Decrease in caesarean delivery rate (time frame: up to 3 weeks). Secondary outcome measures Time to delivery (time frame: up to 3 weeks). Length of labour from randomisation to delivery Operative vaginal delivery rate (time frame: up to 3 weeks). Assess a decrease in operative vaginal delivery Labour augmentation rate reduction (time frame: up to 3 weeks). Assess the reduction in the rate of labour augmentation (via the use of oxytocin and/or amniotomy)
Starting date
Contact information
Notes	Trial not completed. Recruitment phase due to finish 1 June 2019.