Pregnancy sweep and stretch: what to know

During a vaginal examination, a clinician places a gloved finger at the cervix and makes a sweeping movement around it. This can release local chemicals that may help the cervix soften and contractions begin. It does not involve breaking the waters. The cervix may be difficult to reach if it is closed or positioned high, so the examination may not be possible or may feel different from one person to another.

Ask why the sweep is being offered, what alternatives are available, and whether your cervix can be examined comfortably. You can pause or decline the examination. Mild cramping, pelvic discomfort, irregular contractions and a small amount of blood-stained mucus can occur afterwards. Rest, use a pad rather than a tampon, and note whether contractions become regular or the fluid around you leaks.

Contact your maternity team promptly for heavy bleeding, severe or persistent pain, fluid leaking from the vagina, fever, reduced fetal movement, or contractions that are regular and becoming stronger. If you feel faint or seriously unwell, seek urgent medical help. A sweep does not guarantee labour will start, and your team can explain the next step, including induction of labour, if it has not helped.

You could ask: Why is a sweep suitable for me now? What might I feel during the examination? When should I call the maternity unit? What happens if the sweep does not start labour?