Management prelabour rupture of the membranes at term; Induction of labor compared with expectant

ABSTRACT

To find out maternal and fetal outcome in induction of labour compared with expectant management for prelabour rupture of membranes at term. Open randomized comparative study. Gynae Unit- II Services Hospital, from 1st April 2007 to 30 September 2007. 100 patients at > 37 weeks with ruptures membranes with no contraindication to vaginal delivery were enrolled in the study. 50 patients were in the expectant group while 50 patients were in the induction group. Both groups had the same general characteristics but the Misoprostol group had a significantly shorter latancy period [10-16 hour Vs 20-24 hours], shorter period of hospitalization, lesser LSCS rate [24% Vs 34%] lesser need of augmentation [40% Vs 62%], choroamnionitis [3% Vs 7.8%], and postpartum fever [1% Vs 1.8%] when compared with expectant group. Rate of infected wound after LSCS were compared in induction and expectant groups [2.2% Vs 2.6%], also there was no difference between them regarding neonatal morbidity and nursery admission. So it was concluded that there was slightly high maternal complications in expectant group but no long-term maternal morbidity. Both groups have no effect on neonatal morbidity and mortality however the duration between PROM and delivery effect the neonatal admission in nursery and antibiotic requirements.