INDUCTION OF LABOUR VERSUS EXPECTANT MANAGEMENT FOR PREMATURE RUPTURE OF MEMBRANES AT TERM
Background :PrematureÂ rupture of the membranes at term isÂ spontaneous rupture of the membranes after 37 wks of the gestations and before the onset of the regular painful uterine contractions .It occurs in ten percent of cases These cases are either managed conservatively or by immediate induction of labour.
Material and Methods :A prospective, randomized controlled study was carried out for a period ofÂ Â two years from November 2008 to October 2010 atÂ Rural Medical College, Loni. One hundred pregnant women with term PROM were assigned randomly, eachÂ in inductionÂ and expectant group.
Results :.The meanÂ interval from induction to delivery was significantly shorter in the induction group as compared with expectant group . Incidence of maternal morbidity was comparable in both the groups Neonatal morbidity was higher in expectant group . Incidence of hyper stimulation were more with induction groupÂ as compared to expectantÂ group. There was no maternal or perinatal mortality in any group. Intrapartum complicationsÂ and mode of delivery were similar in both groups
Conclusion: Immediate induction of labour in cases of PROM at term using oral misoprostol resulted in shorter induction delivery interval butÂ increased rate of operative intervention. Maternal morbidity was comparable with induction and expectant line of management. However, neonatal morbidity was higher in expectant group
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution 3.0 License.
Copyright © 2008 - 2010 Scholar Science Journals All rights reserved.
120, Swagat Nagar, NGP, INDIA