A CLINICAL STUDY ON EXPECTANT MANAGEMENT VERSUS INDUCTION OF LABOUR IN TERM PREMATURE RUPTURE OF MEMBRANES
Journal Title: IJSR-International Journal Of Scientific Research - Year 2017, Vol 6, Issue 2
Abstract
Premature rupture of membranes (PROM), also called Prelabour Rupture Of Membranes, is classically defined as rupture of membranes before labour and accounts for 0.8-0.9% of all pregnancies at term. is study was conducted over a period of 14 months ( from March 2015 to May 2016) in a tertiary care medical college in North India. A total of 100 term PROM patients were recruited in our study – and divided into two groups randomly--50 (Group A) patients were managed conservatively and 50 (Group- B) patients underwent induction of labour. Both these patient groups were studied to compare the feto-maternal outcome. Group-A (conservative management group) patients were observed to await the spontaneous onset of labour pains for at least 24 hours. Patients in group B were induced with either - PGE1 tab (misoprostol) 25 μgm 4 hourly orally or iv oxytocin infusion. e PROM-delivery interval was < 12 hours in 72 % of induced groups (Group B) and 10% (5) in group- A (conservative or expectant group). LSCS rate was 10 % in group-A (expectant group) & 15 % in group –B (induced group). Sepsis rate, maternal and fetal, hospital stay, NICU admission & duration of NICU stay were notably higher in group – A (expectant management group). erefore, from our study we concluded that immediate induction of labour in term PROM cases shortens the PROM- delivery interval, hospital stay, NICU stay and reduction in both maternal & neonatal sepsis.
Authors and Affiliations
DR JAYATI NATH
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