A Comparative Study of Immediate Induction and Twelve Hour Expectant Management of Labour in Term Premature Rupture of Membranes
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 1
Abstract
Context: PROM –immediate induction and expectant management. Aims: 1. To compare the management of women with term premature rupture of membranes in the immediate induction group and twelve hour expectant management group. 2. To study the maternal and neonatal outcomes in these groups Settings and Design: This was a prospective study conducted in the obstetrics and gynecology department, Government Medical college hospital, Trivandrum. Material and Methods: This is a prospective study of 100 cases of singleton pregnancies with term PROM where 50 cases were allotted at random to group A [ immediate induction of labour after PROM] and 50 cases were allotted to group B [expectant management for 12 hours]. Statistical Analysis: The tests used were chi-square test, student’s t test, test of proportions and Fischer’s exact test. Results: There was no statistically significant difference in the PROM delivery interval in both groups. Maternal morbidity and fetal morbidity were similar in both groups. The differences in caesarean section rates between the two groups were found to be not statistically significant. In delayed induction groups 41 % of primigravidas and 50% of multigravidas went in to spontaneous labour within 12 hours. Of these, 8 (23.5%) primis and 2 (12. 5 %) multi gravidas required augmentation with oxytocin. While 17.6 %0f primi gravidas and 37.5 % of multi gravidas delivered without the need of oxytocin. Conclusion: In term pregnancies with PROM, it is not necessary to hasten the induction of labour. A delay of 12 hours will allow many women to go in to labour spontaneously and reduce the need for induction with no increase in caesarean section rate and maternal and neonatal morbidity
Authors and Affiliations
Dr Deepthy Balakrishnan
Keywords
Related Articles
- EP ID EP501068
- DOI -
- Views 69
- Downloads 0
Respiratory Tract Infection among Children below 5 Years of Age- A Retrospective Study
Background: Respiratory tract infection refers to any of a number of infectious diseases involving the respiratory tract. The present study was conducted to analyze RTI in children below 5 years of age. Materials & Metho...
Medical Technology: Less Use and More Misuse
This paper deals with ethical conundrum involved in the surge of high end technology invading medical equipment and gadgets. The pace of ethical understanding and formulation under strips the momentum of value added medi...
A Prospective Observational study to Identify the Incidence and Predictors of difficult and Impossible Mask Ventilation
Background: Mask Ventilation is the most fundamental skill of airway management and it is vital for the conduct of general anaesthesia1 . Difficulties with airway management in relation to general anesthesia have been a...
Urinary Cystatin C as an Early Biomarker of Acute Kidney Injury in Critically ill Patient
Introduction: Acute kidney injury is associated with high mortality in critically ill patients. We usually measure serum creatinine to detect AKI, but it is a poor predictor of accuracy particularly in the early stages o...
An Analytical Study of Ocular Complications of Diabetes Mellitus
Introduction: Diabetes mellitus is the most common medical problem in the world. Diabetes causes an array of long-term systemic complications, which have a considerable impact on both the patients and the society because...