Detachment of the Membranes

, which creates, by inserting a finger inside the uterine cervix, a space between the uterine tissue and the amniochorial membranes.

The effect of the separation of the membranes is double:

• On the one hand, it acts on the lowering of the amniotic sac, favoring its rupture;
• On the other hand, by stimulating the cervix, the release of endogenous prostaglandins is activated and the release of oxytocin in the maternal organism is stimulated, thus increasing uterine contractions and the maturation of the cervix (ie softening, smoothing and dilation).

Membrane detachment is a much discussed practice and not all doctors agree to use it. In general, this procedure is used when the cervix is ​​at least slightly dilated; otherwise, this maneuver may be ineffective or inappropriate for the pregnant woman.

faster. The maneuver consists in mechanically separating the amniochorial membranes from the inner surface of the cervix.

The separation of the membranes is performed by the gynecologist, inserting a finger into the cervix and rotating the finger circularly twice, to create a gap between the uterine tissue and the fetal membranes.

In the same way as other methods of induction of childbirth, the separation of the membranes is practiced when it is necessary for medical reasons, depending on the health conditions of the pregnant woman and the child.