OBSTETRIC AND PERINATAL OUTCOME IN INDUCTION OF LABOR COMPARED WITH EXPECTANT MANAGEMENT FOR PRELABOR RUPTURE OF THE MEMBRANES AT TERM

Obstetric and Perinatal Outcome

Authors

  • Umairah Yaqub Combined Military Hospital Rawalpindi
  • Rubina Mushtaq Combined Military Hospital Rawalpindi
  • Mamoona Mushtaq Combined Military Hospital Rawalpindi

Keywords:

Expectant management, Induction of labor, Prelabor rupture of membranes, Prostaglandin

Abstract

Objective: To compare the management outcome of induction of labor with expectant management in patients with term pre labor rupture of membranes (PROM).

Study Design: Randomized controlled trial.

Place and Duration of Study: This study was conducted in the department of Obstetrics & Gynaecology; Combined Military Hospital Rawalpindi from 25th July 2010 to 25th January 2011.

Methods: A total of 384 patients were selected for this study, which were divided into two groups by lottery method. Patients in group A were induced with tablet prostaglandin E2 and group B patients were managed expectantly for 24 hours. The outcome of mothers and neonates was recorded on a pre-designed proforma.

Results: The mean duration between PROM to onset of active labor in group A was significantly less (8.4 ± 2.3 hours) as compared to group B in which it was (9.6±2.1 hours) (p = 0.000). The mean duration between PROM to delivery in group A was significantly less in group A (17.4 ± 2.0) versus group B (22.2 ± 2.0 hours) (p = 0.000). The spontaneous vaginal delivery (SVD) rate was considerably higher (p=0.056) in group A in which 161 (83.8%) patients delivered by SVD and 31 (16.1%) patients by LSCS. In group B, 146 (76.0%) patients delivered by SVD and 46 (23.9%) patients by LSCS. In group A, 8 (4.1%) patients developed chorioamnionitis and 13 (6.7%) patients in group B (p = 0.262). In group A there were 178 (92.7%) neonates with APGAR score of > 5 at 1 minute in contrast to 173 (90.1%) in group B with (p = 0.363). Similarly in group A at 5 minutes, there were 178 (92.7%) neonates with APGAR score of > 7 and 173 (90.1%) in group B (p = 0.460). There were 9 (4.6%) cases of neonatal sepsis in group A, in comparison with 12 (6.2%) patients in group B (p = 0.501).

Conclusion: The mean duration of labor in induced patients was less as compared to patients with expectant management.

 

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Published

30-04-2015

Issue

Section

Original Articles

How to Cite

1.
Yaqub U, Mushtaq R, Mushtaq M. OBSTETRIC AND PERINATAL OUTCOME IN INDUCTION OF LABOR COMPARED WITH EXPECTANT MANAGEMENT FOR PRELABOR RUPTURE OF THE MEMBRANES AT TERM: Obstetric and Perinatal Outcome. Pak Armed Forces Med J [Internet]. 2015 Apr. 30 [cited 2024 Nov. 23];65(2):179-83. Available from: https://pafmj.org/PAFMJ/article/view/746