Pregnancy and baby

40 weeks plus

What is a cervical sweep?

Media last reviewed: 20/03/2014

Next review due: 20/03/2016

If your baby is overdue

Pregnancy normally lasts about 40 weeks (that's around 280 days from the first day of your last period). Most women go into labour a week either side of this date, but some women go overdue.

If your labour doesn't start by the time you are 40 weeks pregnant, and this is your first pregnancy, your midwife will offer you a "membrane sweep" at your 40 and 41 weeks appointments. If you have had a baby before, you will be offered this just at your 41 weeks appointment.

A membrane sweep involves having a vaginal (internal) examination that stimulates the cervix (neck of your womb) to produce hormones that may trigger natural labour. You don't have to have this – you can discuss it with your midwife.

If your labour still doesn't start naturally after this, your midwife or doctor will suggest a date to have your labour induced.

If you don't want your labour to be induced and your pregnancy continues to 42 weeks or beyond, you and your baby will be monitored.

Your midwife or doctor will check that both you and your baby are healthy by offering you ultrasound scans and checking your baby's movement and heartbeat. If there are any concerns about your baby, your doctor will suggest that labour is induced.

Induction is always planned in advance, so you'll be able to discuss the advantages and disadvantages with your doctor and midwife, and find out why they think your labour should be induced. It's your choice whether to have your labour induced or not.

Over 42 weeks pregnant

Most women go into labour spontaneously by the time they are 42 weeks pregnant. If your pregnancy lasts longer than 42 weeks and you decide not to have your labour induced, you should be offered increased monitoring to check your baby's wellbeing.

There is a higher risk of stillbirth if you go over 42 weeks pregnant, although most babies remain healthy. At the moment, there is no way to predict reliably which babies are at increased risk of stillbirth, so induction is offered to all women who don't go into labour by 42 weeks.

Having induction of labour after the date your baby is due does not increase the chance of having a caesarean section. There is actually some evidence that it may slightly reduce the chance of having a caesarean section.

Read about the signs that labour has started.

Page last reviewed: 21/01/2015

Next review due: 21/01/2017


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The 2 comments posted are personal views. Any information they give has not been checked and may not be accurate.

Susie4 said on 03 March 2015

Dear Blackkat,
Expectant management usually means there is no indication for intervention, and you are 'awaiting events' i.e. not doing anything. If a woman is over 40 weeks pregnant, the term 'expectant management' may be used to reflect the situation where induction of labour is refused, and you are waiting for spontaneous labour.

If a woman goes over 42 weeks, she will be offered foetal monitoring to provide reassurance that the baby is healthy. The frequency of this monitoring may depend on the unit where you receive your care, but typically it involves twice weekly CTG (cardiotocography, monitoring the baby's heartbeat) and ultrasound assessment of amniotic fluid volume, and umbilical artery Doppler scan (measuring the blood flow to your baby).

Susie at NHS Choices

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Blackkat said on 03 November 2014

Why is there no information about expectant monitoring? I'm 41 weeks pregnant & planning a home birth so don't want to be induced so opting for expectant monitoring instead but there seems to be no official information on what it involves, how often, what checks are done etc. This really is a huge over sight for all of us pregnant women who want to have our babies naturally.

I really hope the NHS adds something to this website soon.

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Induction of labour

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