Management of delivery with prelabor rupture of membranes (prom) in term labour / Монголын Анагаах Ухаан

ABSTRACT

Introduction:Prelabor rupture of membranes is defined as spontaneous rupture of membranes with no contractions and it is increased for serious maternal and fetal risk, as a inter and postpartum infections, dysfunctional labor, and the need for operative delivery. Prelabor rupture of membranes occurs in approximately 10 % of pregnancies, of these, approximately 90% in term parturiuents.Goal To evaluate management of delivery with PROM in term labour.Materials and МethodsThe retrospective and prospective evaluation of 672 and 144 case series of women with PROM was done in First Maternity Hospital and DTC in Dornod Province. All medical records were reviewed by prestructured questionnaire consisting of 12 groups and analysed by descriptive and logistic regression.Results: The mean age of study subjects was 27.81 (SD 5.563) and the incidence of PROM was 11.3% and from them 69,1% were delivered vaginally and 31,9% by C-section. Induced labor the vaginally delivery was 87.8% and of them 33% use epidural anaesthesia and 50.3% of cases were women with unfavourable cervix. Conclusions: In women with PROM at term delivery to induct the labor with mizoprostol was more effective when use the regime by the guideline ‘’Management complication pregnancy and child birth’’. The positivie correlation was observed between induction of labor and cervical ripining scores (P<0.01).