Pre labour Rupture of Membranes at Term: Expectant Management vs Induction of labour

Abstract

Objective: To determine the best approach to PROM at term. Study design: A randomized control trail. Place and duration of study: Obstetrics and Gynecology department of nishtar hospital from may 2017 to march 2018. Methodology: 100 women with PROM at term were selected. After consent, they were randomly assigned to expectant or induced group. Expectant group was managed conservatively while in the patients of the induced group induction of labour was done. All the data was entered on already designed Performa. Collected data was analyzed by SPSS software. Results: the duration between PROM to delivery was significantly reduced with a p value of <0.001 in induced group compared to the expectant group. Moreover, the difference of maternal morbidity and LSCS between induced and expectant group is not statistically significant. The difference observed in the neonatal outcomes was statistically significant showing higher rates of morbidity (asphyxia and sepsis) in the expectant group compared to the induced group. Conclusion:   induction of labour is the best approach towards the PROM at term compared to conservative management because of remarkable decrease in PROM to delivery interval and neonatal morbidity without significant rise of LSCS and maternal morbidity. Moreover, it gives the additional advantage of maternal satisfaction and decrease hospital stay time.

Keywords: Pre Labour, Membranes Rupture, Induction.