MANAGEMENT PRELABOUR RUPTURE OF THE MEMBRANES AT TERM;

INDUCTION OF LABOUR COMPARED WITH EXPECTANT

Abstract

To find outmaternal and fetal outcome in induction of labour
compared with expectant management for prelabour rupture of membranes at term. Design: Open randomized
comparative study. Setting and period: Gynae Unit- II Services Hospital, from 1 April 2007 to 30 September 2007. st
Patient and methods: 100 patients at > 37 weeks with ruptures membranes with no contraindication to vaginal delivery
were enrolled in the study. 50 patients were in the expectant group while 50 patients were in the induction group.
Results: Both groups had the same general characteristics but the Misoprostol group had a significantly shorter latancy
period (10-16 hour Vs 20-24 hours), shorter period of hospitalization, lesser LSCS rate (24% Vs 34%) lesser need of
augmentation (40% Vs 62%), choroamnionitis (3%Vs 7.8%), and postpartumfever (1% Vs 1.8%) when compared with
expectant group. Rate of infected wound after LSCS were compared in induction and expectant groups (2.2% Vs
2.6%), also there was no difference between them regarding neonatal morbidity and nursery admission. Conclusion:
So it was concluded that there was slightly high maternal complications in expectant group but no long-term maternal
morbidity. Both groups have no effect on neonatal morbidity and mortality however the duration between PROM and
delivery effect the neonatal admission in nursery and antibiotic requirements.