Prelabour rupture of membranes at term: Expectant Management vs Induction of labour
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 4
Abstract
Abstract: Prelabour rupture of membranes is defined as rupture of membranes before labour and occurs in 0.8% of all pregnancies at term. This study was conducted at Government Maternity hospital, Sultanbazar, Hyderabad from April 2015 to December 2015 over a period of 8 months on a total of 120 term PROM women to compare maternal, fetal outcome and Caesarean section rates with expectant management and induction of labour. 60 were managed conservatively and 60 were induced labour. After confirming leakage of membranes, patients were randomly assigned to expectant or induced group. Patients in conservative group were observed to await onset of labour pains for at least 24 hours. Patients in induction group were induced with either PGE1 (misoprotol) 25 mcg four hourly orally or I.V. oxytocin infusion. PROM delivery interval <12 hours in 68.3% in induced group and 10% in expectant group. LSCS rate is 11.7% in expectant group, 15% in induced group. Increase in sepsis rate and hospital stay was noted in expectant group. This study concludes that immediate labour induction in term PROM shortens delivery interval, hospital stay, and reduction of sepsis. Keywords: Term PROM, Induction of labour, expectant management
Authors and Affiliations
Dr Suneela Kolluri
Keywords
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