Obstetric Profile of Women Undergoing Labour with Premature Rupture of Membranes at Term.

ABSTRACT

Background: A healthy mother and a healthy baby are the central concepts of any obstetric management. Labour has to be induced in order to achieve this objective in certain cases, either for maternal or fetal indications or both, one of the common indications being premature rupture of membranes at term. If the pregnancy continues with premature rupture of membranes, a normal pregnancy turns into a high-risk one, as it is associated with significant maternal and neonatal morbidity and mortality, so an active approach induction of labour is desirable. Objective: To study the obstetric profile of women undergoing labour. Methods: 200 pregnant women with premature rupture of membranes were studied. Women with singleton pregnancy with cephalic presentation beyond 37 weeks of gestation presented with premature rupture of membranes with good fetal heart rate were included in the study. A detailed history and a thorough general examination were carried out. Uterine tenderness was looking for as a sign of chorioamnionitis. Then a speculum examination was carried. Results: Maximum number of cases were between 18-22 years (47%). Maximum i.e. 56% were nulliparous. The mean Bishop score in the nulliparous women was 4.41 and 4.7 for multiparous women. Conclusion: Majority of the patients were in the age group of 18-22 years. The mean pre induction Bishop score was 3.4 in the misoprostol group and 4.4 in the oxytocin group.