Preterm Prelabour Rupture of Membranes at 34-37 Weeks’ Gestation: Intentional Delivery versus Expectant Management
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 6
Abstract
Objectives: In this prospective study we wanted to prove that intentional delivery as compared to expectant management for PPROM at 34 – 37 weeks’ gestation will be associated with improved maternal and perinatal outcome. Study Design: Consecutive 100 gravid women at >34 weeks 0 days and <36 weeks 6 days of gestation attending the labour emergency with PPROM fulfilling the selection criteria taken for study. They were randomized to receive misoprostol induction (n=50) or expectant (n=50) treatment only. Result: In this study 12% women of expectant group developed chorioamnionitis and no chorioamnionitis occurred in any women Of induction group (12% vs. 0%, p=0.0353). Maternal hospital stay was significantly prolonged among patients in the expectant group (7.98±5.71 days vs. 3.28 ± 1.98 days, p=0.0001). Rate of Caesarean Section was more in induction group (16% vs. 10%, p= 0.5536). Birth Titol Biswas et al JMSCR Volume 2 Issue 6 June 2014 Page 1349 JMSCR Volume||2||Issue||6||Page 1348-1357 ||June 2014 2014 asphyxia (A.S < in 1 min) was more common in expectant group (14% vs. 10%, p=0.095), and neonatal sepsis also more common in expectant group (12% vs. 2%, p=0.1169). Conclusion: In women whose pregnancy is complicated by PPROM at 34 weeks 0 days to 36 weeks 6 days, our study indicates that intentional delivery by induction of labour substantially improves pregnancy outcomes compared with expectant management.
Authors and Affiliations
Titol Biswas
Keywords
Related Articles
- EP ID EP205962
- DOI -
- Views 141
- Downloads 0
Short-Term Outcome of Penetrating Keratoplasty at a Tertiary Care Hospital
Objective: To study the short-term outcome of Penetrating keratoplasty (PKP) in terms of best corrected visual acuity (BCVA), Graft survival and Post operative complications. Materials and Methods: 56-Consecutive cases u...
Determinants of Failure of Exclusive Breast Feeding in Mothers Residing in Satna, Madhya Pradesh
A cross-sectional study conducted on mothers attending OPD at referral hospital Satna to determines factors responsible for failure of exclusive breast feeding. A total of 150 women who were not practicing exclusive brea...
The effects of microcytic hypochromic anemia on HBA1C in non-diabetics
Background: Hemoglobin A1c reflects patient’s glycemic status over previous 3 months. Iron deficiency anemia elevates hbA1c concentration independent of glycemia. This study aim to analyze effect of microcytic hypochromi...
Septo-Optic Dysplasia: A Case Report
Septo-optic dysplasia also referred to as de Morsier syndrome and is a disorder of early brain development. Three characteristic features are under development (hypoplasia) of the optic nerve, abnormal formation of struc...
A Clinical Study of Management and Outcome in Empyema Thoracis in a South Indian Teaching Hospital
Empyema thoracis is a pyogenic or suppurative infecton of the pleural space. Empyema is the most common exudative type of pleural effusion. Empyema is never a primary disease, often it is difficult to arrive at primary f...