Volume : IX, Issue : I, January - 2020

ACTIVE VERSUS EXPECTANT MANAGEMENT OF PROM AT TERM

Dr. Pragya Mishra, Dr. Shreshu Yadav

Abstract :

Premature rupture of memanes (PROM) refers to the loss of integrity of memanes before onset of labor, with resulting leakage of amniotic fluid and establishment of communication between the amniotic cavity and the endocervical canal and vagina. In spite of many studies available in the literature, the clinical management is surprisingly controversial. The aim of the study was to compare the fetal and maternal outcomes of actively managed and expectantly managed term PROM. Methods: In this observational study we included 200 women with diagnosed prelabour rupture of memanes. All women had gestational age >36 weeks and <4o weeks with singleton pregnancy and vertex presentation. Study excluded all patients with previous uterine scar or with any medical or surgical disorder. They were randomly divided in two groups with 100 women each: Group A which was induced with PGE1 or oxytocin depending on their cervical score and Group B which was managed expectantly and late induction after 24 hours was done. Both the groups were given intravenous antibiotics. They were evaluated on the basis of fetal and maternal outcomes. Results: In this study we found that 96 women who were managed expectantly went in labour within 24 hours of PROM. But PROM to delivery interval was longer in expectantly managed as compared to actively managed or induced group. Rate of cesarean was more in induced group but was statistically insignificant when compared in both the groups. So was NICU admission more in expectant group but was statistically insignificant when compared in both the groups. Conclusions: Expectant management can be done in patients with PROM to reduce the cesarean rate with proper antibiotic prophylaxis. There was no significant difference in maternal and fetal outcomes of both the management.

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Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

ACTIVE VERSUS EXPECTANT MANAGEMENT OF PROM AT TERM, Dr. Pragya Mishra, Dr. Shreshu Yadav GLOBAL JOURNAL FOR RESEARCH ANALYSIS : Volume-9 | Issue-1 | January-2020

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