ACTIVE VERSUS CONSERVATIVE MANAGEMENT OF PRELABOUR RUPTURE OF MEMBRANES AT TERM | [Journal of Postgraduate Medical Institute • 2013]

Author(s):

1. Sumaira Yasmin: Department of Gynecology & Obstetrics,Lady Reading Hospital, Peshawar, Pakistan

2. Aiman Yasmin: Department of Gynecology & Obstetrics, Lady Reading Hospital, Peshawar, Pakistan

3. Noor Nasir Khattak: Department of Gynecology & Obstetrics,Lady Reading Hospital, Peshawar, Pakistan

4. Rukhsana Karim: Department of Gynecology & Obstetrics, Lady Reading Hospital, Peshawar,Pakistan

5. Mehnaz Raees: Department of Gynecology & Obstetrics, Lady Reading Hospital, Peshawar, Pakistan

Abstract:

To compare maternal and foetal outcome of active versus conservative management of premature rupture of membranes after 37 completed weeks of pregnancy. Methodology: This quasi-experimental study was carried out at Gynae unit, Lady Reading Hospital, Peshawar from September 2004 to September 2005 and included 100 patients out of which 50 were managed conservatively and 50 actively. After confirming the leakage of amniotic fluid, patients were randomized by lottery method to conservative or induced group. The patients in the group that was managed conservatively were shifted to obstetrical ward to await the onset of regular uterine activity for at least 48hrs. After Bishops scoring, patients were induced with vaginal prostaglandin E2 tablet. Both groups received intravenous antibiotics. Results: Total number of patients with PROM at term was 3.84%. Total cost of stay in hospital and management was greater in induced group (P. value 0.05) was observed in respect of perinatal outcome and infectious morbidity in babies. Conclusion: Conservative management of PROM at term should be viewed more positively for at least 48hrs under appropriate antibiotic cover and with active management of 3rd stage of Labour.

Page(s): 63-68

DOI: DOI not available

Published: Journal: Journal of Postgraduate Medical Institute, Volume: 27, Issue: 1, Year: 2013

Keywords:

labour , Premature Rupture of Membranes PROM , Prelabour

References:

References are not available for this document.

Citations

Citations are not available for this document.

Citations

Downloads

Views