Patient Perception and Satisfaction with Cervical Massage for Labour Induction: A Prospective Study in Low-Risk Pregnant Women

Dr. Avishek Bhadra; Dr. Arup Chakraborty; Dr. Rumela Biswas; Dr. Subhojit Bagchi

Authors

Dr. Avishek Bhadra Associate Professor, Department of Obstetrics and Gynaecology, R G Kar Medical College and Hospital, Kolkata.
Dr. Arup Chakraborty Professor, Department of Community Medicine, Medical College Kolkata.
Dr. Rumela Biswas Junior Resident, Department of Obstetrics and Gynaecology, Medical College and Hospital, Kolkata.
Dr. Subhojit Bagchi Junior Resident, Regional Institute of Ophthalmology, Medical College Kolkata.

Abstract

Introduction: Cervical massage is a technique aimed at stimulating cervical ripening by encouraging the release of natural prostaglandins. It may reduce the need for medical induction by promoting the normal physiological onset of labour. Although studies have shown its potential to soften and efface the cervix, there is limited research on patient perception and satisfaction with this method. This study explores women's pain perception and satisfaction with cervical massage as an alternative to more invasive induction methods, such as membrane sweeping.

Methods: This prospective, mono-centric study was conducted among low-risk pregnant women at a tertiary care hospital in Eastern India. The participants underwent cervical massage once they reached their expected date of delivery (EDD). Exclusion criteria included women with growth-restricted foetuses or those requiring formal induction. Data on pain during the procedure were collected using a Visual Analogue Scale (VAS). Postnatal questionnaires assessed patients' experiences, including whether they would recommend or repeat the procedure.

Results: Of the 203 women screened, 104 were enrolled (52 primiparas and 52 multiparas). The majority (93%) had a single cervical massage. Pain scores ranged from no pain (31.73%) to moderate pain (16.35%). Regarding satisfaction, 38.46% of participants would recommend the procedure to others or agree to repeat it in subsequent pregnancies. The interval between cervical massage and labour onset was noted, with a higher rate of vaginal delivery among multiparas. Only 0.96% had prior knowledge of cervical massage.

Discussion: While cervical massage showed less discomfort compared to membrane sweeping, only 38.46% of women would consider repeating it. This supports the need for further research on its effectiveness for cervical ripening and induction. The study highlights the need for more alternatives to formal induction methods.

Conclusion: Cervical massage is a promising alternative to membrane sweeping, but its efficacy and patient acceptability require further investigation.