To know if you go overdue your doctor will confirm your gestational age either by revising your last menstrual period date or your early ultrasound. Then he will inspect your cervix to check its readiness for delivery by checking its consistency and length and dilation. Your doctor might offer to do a membrane sweep if the cervix is partially dilated, this induces the release of prostaglandins which can help start labor. If this does not work for you, you can decide with your doctor either to start labor induction or go for a cesarean section at once.
Scientific Update (October 2026)
This chapter was first published in 2019 as part of the Prenatal Care Book, and has been reviewed and updated according to the latest guidelines. Key updates:
- Induction is now recommended at 41 weeks (rather than waiting until 42) to reduce the risk of stillbirth; a membrane sweep may be offered from 39–40 weeks.
- If you choose to wait beyond 41 weeks, increased monitoring with fetal heart tracing and ultrasound of the fluid around the baby is advised.
References: NICE inducing labour (NG207), WHO recommendations on intrapartum care (2018).
International Guidelines
In line with global standards, Dr. Sabry follows the latest recommendations from the American Society for Reproductive Medicine (ASRM), European Society of Human Reproduction and Embryology (ESHRE), and Royal College of Obstetricians and Gynaecologists (RCOG). Thus, patients receive care that is safe, ethical, and evidence-based.
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Dr. Ashraf Sabry, consultant in obstetrics, gynecology, fertility, and aesthetic gynecology, is recognized among the best OBGYN and fertility specialists in Cairo. With over 20 years of experience, he combines science and compassion to provide world-class care. Book your appointment now through the contact page here or Whatsapp us or call us on +201022224442