To Compare the Conservative and Aggressive Management of Preterm Prelabor Rupture of Membranes (PPROM) in Indian women at 34-36 Weeks Gestation in Terms of Mode of Delivery and Study the Indication for Caesarean Section
Journal Title: PARIPEX-Indian Journal of Research - Year 2016, Vol 5, Issue 8
Abstract
Aim- To compare the conservative and aggressive management of Preterm prelabor rupture of membranes (PPROM) in Indian women at 34-36 weeks gestation in terms of mode of delivery and study the indication for caesarean section. Materials & Method- 194 pregnant women with PPROM at gestational age 34-36 weeks admitted in labour ward were included in the study conducted from 2009 -2010 in department of Obstetrics & Gynaecology, SMS Medical College, India. Random allocation to conservative & aggressive management group was done by offering Chit Box Method assigning 97 cases in each group. In conservative management cases were hospitalized & provided bed rest, Daily fetal monitoring, maternal vitals monitoring, Oral tab erythromycin 500 mg t.d.s for 7 days, Daily WBC count and C - reactive protein estimation. Expectant management was abandoned if there was clinical evidence of labour, infection or fetal distress. In aggressive management induction of labour was done by Tab Misoprostol 25 g orally, at 4-6 hour intervals, for a maximum of 5 doses. Caesarean delivery was performed for standard obstetrical indication and for failed induction. After delivery neonatal care was provided by neonatologist Results- Out of 97 cases in aggressive management group majority i.e. 92 (94.85%) cases had latent period 24 hours and in only 5 (5.15%) cases had latent period >24 hours. Similarly out of 97 cases in conservative management group, majority i.e. 86 (88.66%) cases had latent period >24 hours and only 11 (11.34%) cases 24 hours. Conclusion- In aggressive management group duration of latent period in majority cases was 24 hours and in conservative management group majority cases have latent phase >24 hours. Thus, in the present study difference in duration of latent period of PPROM in both the groups was highly significant.
Authors and Affiliations
Dr. Shachi Shukla
Keywords
Related Articles
- EP ID EP565109
- DOI -
- Views 36
- Downloads 0
ACCURACY OF TRIPLE ASSESSMENT IN DIAGNOSIS OF PALPABLE BREAST LUMPS
Aim :The study is conducted with the aim of assessing the combined and individual reliablility of the Triple assesment in making a pre-procedural diagnosis of palpable breast lumps. MATERIALS AND METHODS Type of study I...
THE ROLE OF MODERN MEDICAL TECHNOLOGIES (MINIMALLY INVASIVE SURGERY) TO THE PATIENT BENEFITS
Introduction: The diffusion of minimally invasive surgery has thrived in recent years, providing substantial benefits over traditional techniques for a number of surgical interventions. This rapid growth has been possibl...
A STUDY ON THE PERSONALITY TRAITS AND LEADERSHIP QUALITY OF HIGH SCHOOL TEACHERS GENDER WISE ANALYSIS
The investigator wants to find out whether there is any significant difference between male and female high school teachers in their personality traits extroversion, openness, agreeableness, conscientiousness and neuro...
SUSTAINABLE DEVELOPMENT IN INDIAN AGRICULTURAL SECTOR
The objective of this research is to study the sustainable development in Indian agricultural sector. Being the largest private sector 'agriculture' enjoys a very important position in Indian economy. As it is having lin...
BIVARIATE OPTIMAL REPLACEMENT POLICY FOR A DETERIORATING REPAIRABLE SYSTEM USING ARITHEMETICO- GEOMETRIC PROCESS (AGP)
This paper studies an optimal bivariate replacement policy for a deteriorating repairable system by assuming that the successive operating times of the system form - a decreasing Arithmetico-Geometric Process (AGP) while...