A Comparative Study of Feto-maternal Outcomes in Pre-labor Rupture of Membrane at Term
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 6
Abstract
Aims and Objectives: To compare feto-maternal outcomes in patients with pre-labor rupture of membrane (PROM) at term with that of patients without PROM and also compare the efficacy of three different modes of induction. Materials and Methods: In this study, 120 patients with PROM were included as cases and 120 patients without PROM were included as controls. We divided cases and controls into three subgroups (40 patients in each group) depending upon the mode of induction, i.e., with oxytocin only, with misoprostol only, with both misoprostol and oxytocin. The data were collected prospectively and analyzed statistically. Results: Mean gestational age of cases and controls was 38.17 ± 0.83 and 38.60 ± 0.70 weeks, respectively. There were higher chances of instrumental delivery and lower segment cesarean section in patients with PROM. Most of the cases (84.17%) were belonging to lower socioeconomic class, so their babies were having low-birth weight. More percentage of cases gave birth to babies with Apgar score <7 at 1 and 5 min. There were higher chances of neonatal intensive care unit admission of babies born to patients with PROM than patients without PROM. There were higher chances of developing fever and wound infection in cases. The chances of fetal and maternal morbidity and mortality were increased in case of PROM and as the leaking to delivery interval increased, it further increased. Conclusion: PROM leads to increased chances of fetal and maternal morbidity and mortality. Hence, early diagnosis and prompt management is required for better outcome of mother and baby. Induction to delivery interval with misoprostol and oxytocin is lesser and more number of cases delivered normally so this mode of induction is better than other modes of induction.
Authors and Affiliations
Mansi Shrigiriwar, Purnima Bhandari, Alka Patankar
Keywords
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