INDUCTION OF LABOUR VERSUS EXPECTANT MANAGEMENT FOR PREMATURE RUPTURE OF MEMBRANES AT TERM

Authors

  • Vidyadhar B Bangal Rural Medical College Pravara Institute of Medical Sciences (Deemed University), Loni Dist. Ahmednagar, Maharashtra
  • Pujil Gulati Rural Medical College Pravara Institute of Medical Sciences (Deemed University), Loni Dist. Ahmednagar, Maharashtra
  • Kunnal K Shinde Rural Medical College Pravara Institute of Medical Sciences (Deemed University), Loni Dist. Ahmednagar, Maharashtra
  • Sai K Borawake Rural Medical College Pravara Institute of Medical Sciences (Deemed University), Loni Dist. Ahmednagar, Maharashtra

DOI:

https://doi.org/10.7439/ijbr.v3i3.328

Keywords:

Premature rupture of membranes, Induction of labour, Maternal morbidity, Neonatal morbidity, Misoprostol

Abstract

Background: Premature rupture of the membranes at term is spontaneous rupture of the membranes after 37 wks of the gestations and before the onset of the regular painful uterine contractions. It occurs in ten percent of cases. These cases are either managed conservatively or by immediate induction of labour.

Objective: To find out the efficacy and safety of induction of labour versus expectant management in women with premature rupture of membranes beyond 36 weeks gestation, in terms of induction delivery interval, operative interventions, and fetal outcome

Material and Methods: A prospective, randomized controlled study was carried out for a period of two years from November 2008 to October 2010 at Rural Medical College, Loni. One hundred pregnant women with term PROM were assigned randomly, each in induction and expectant group.

Results: The mean interval from induction to delivery was significantly shorter in the induction group as compared with expectant group. Incidence of maternal morbidity was comparable in both the groups Neonatal morbidity was higher in expectant group. Incidences of hyper stimulation were more with induction group as compared to expectant group. There was no maternal or perinatal mortality in any group. Intrapartum complications and mode of delivery were similar in both groups.

Conclusion: Immediate induction of labour in cases of PROM at term using oral misoprostol resulted in shorter induction delivery interval but increased rate of operative intervention. Maternal morbidity was comparable with induction and expectant line of management. However, neonatal morbidity was higher in expectant group.

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Author Biographies

  • Vidyadhar B Bangal, Rural Medical College Pravara Institute of Medical Sciences (Deemed University), Loni Dist. Ahmednagar, Maharashtra
    Professor and Head, Dept. of Obstetrics and Gynaecology,
  • Pujil Gulati, Rural Medical College Pravara Institute of Medical Sciences (Deemed University), Loni Dist. Ahmednagar, Maharashtra
    Postgraduate student
  • Kunnal K Shinde, Rural Medical College Pravara Institute of Medical Sciences (Deemed University), Loni Dist. Ahmednagar, Maharashtra
    Postgraduate student
  • Sai K Borawake, Rural Medical College Pravara Institute of Medical Sciences (Deemed University), Loni Dist. Ahmednagar, Maharashtra
    Postgraduate student

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Published

2012-04-01

Issue

Vol. 3 No. 3 (2012): Mar

Section

Original Research Articles

License

Copyright (c) 2012 International Journal of Biomedical Research

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How to Cite

1.
INDUCTION OF LABOUR VERSUS EXPECTANT MANAGEMENT FOR PREMATURE RUPTURE OF MEMBRANES AT TERM. Int Jour of Biomed Res [Internet]. 2012 Apr. 1 [cited 2026 Mar. 8];3(3):164-70. Available from: https://ssjournals.co.in/index.php/ijbr/article/view/726