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
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