EARLY PLANNED BIRTH: A BETTER WAY TO MANAGE PRE-LABOR RUPTURE OF MEMBRANES AT TERM

Objective: To compare mean pre-labour rupture of membranes (PROM)-delivery time, hospital stay, frequency of caesarean section and fetal distress associated with immediate induction versus expectant management with delayed induction in women presenting with pre-labour rupture of membranes at term....

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Autores principales:	Sehrish Gul, Mahwash Jamil, Ayesha Basharat, Muhammad Aleem Khan
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2021
Materias:	expectant management feto-maternal outcomes labor induction pre-labour rupture of membranes Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/5dfb58f9181e49f4b05470e5bac71a42
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spelling	oai:doaj.org-article:5dfb58f9181e49f4b05470e5bac71a422021-12-02T18:01:39ZEARLY PLANNED BIRTH: A BETTER WAY TO MANAGE PRE-LABOR RUPTURE OF MEMBRANES AT TERM0030-96482411-8842https://doaj.org/article/5dfb58f9181e49f4b05470e5bac71a422021-04-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/6666https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare mean pre-labour rupture of membranes (PROM)-delivery time, hospital stay, frequency of caesarean section and fetal distress associated with immediate induction versus expectant management with delayed induction in women presenting with pre-labour rupture of membranes at term. Study Design: Quasi-experimental study. Place and Duration of Study: Gynae/Obs. Unit of Shifa International Hospital, Islamabad, from Sep 2013 to Mar 2014. Methodology: A total of 294 pregnant females with gestational age between 37-41 weeks with singleton pregnancies and cephalic presentation presenting with pre-labour rupture of membranes were enrolled and equally distributed to two groups. Group A females were immediately induced with 50 micrograms of misoprostol per vaginally and group B was managed expectantly for 12 hours followed by labor induction with 50 micrograms of misoprostol per vaginally if labor did not ensue spontaneously in 12 hours. Results: Mean pre-labour rupture of membranes to delivery time was significantly shorter in immediate induction group when compared to the expectant group with delayed induction (6.93 ± 2.43 versus 19.25 ± 5.38 hours, p=0.001). Frequency of hospital stay of >3 days was also significantly lower in immediate induced group (29.9% n=44/147 versus 40.1% n=59/147, p=0.036). Higher percent-age of caesarean section (53.7% n=79/147 versus 44.9% n=66/147, p=0.129) and fetal distress (46.3% n=68/147 versus 38.8% n=57/147, p=0.129) were observed in immediate induction group. Conclusion: The mean pre-labour rupture of membranes to delivery interval and hospital stay was significantly less in immediate induction when compared to expectant management with delayed induction group. Rates of caesarean sections and...................Sehrish GulMahwash JamilAyesha BasharatMuhammad Aleem KhanArmy Medical College Rawalpindiarticleexpectant managementfeto-maternal outcomeslabor inductionpre-labour rupture of membranesMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 2, Pp 545-48 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	expectant management feto-maternal outcomes labor induction pre-labour rupture of membranes Medicine R Medicine (General) R5-920
spellingShingle	expectant management feto-maternal outcomes labor induction pre-labour rupture of membranes Medicine R Medicine (General) R5-920 Sehrish Gul Mahwash Jamil Ayesha Basharat Muhammad Aleem Khan EARLY PLANNED BIRTH: A BETTER WAY TO MANAGE PRE-LABOR RUPTURE OF MEMBRANES AT TERM
description	Objective: To compare mean pre-labour rupture of membranes (PROM)-delivery time, hospital stay, frequency of caesarean section and fetal distress associated with immediate induction versus expectant management with delayed induction in women presenting with pre-labour rupture of membranes at term. Study Design: Quasi-experimental study. Place and Duration of Study: Gynae/Obs. Unit of Shifa International Hospital, Islamabad, from Sep 2013 to Mar 2014. Methodology: A total of 294 pregnant females with gestational age between 37-41 weeks with singleton pregnancies and cephalic presentation presenting with pre-labour rupture of membranes were enrolled and equally distributed to two groups. Group A females were immediately induced with 50 micrograms of misoprostol per vaginally and group B was managed expectantly for 12 hours followed by labor induction with 50 micrograms of misoprostol per vaginally if labor did not ensue spontaneously in 12 hours. Results: Mean pre-labour rupture of membranes to delivery time was significantly shorter in immediate induction group when compared to the expectant group with delayed induction (6.93 ± 2.43 versus 19.25 ± 5.38 hours, p=0.001). Frequency of hospital stay of >3 days was also significantly lower in immediate induced group (29.9% n=44/147 versus 40.1% n=59/147, p=0.036). Higher percent-age of caesarean section (53.7% n=79/147 versus 44.9% n=66/147, p=0.129) and fetal distress (46.3% n=68/147 versus 38.8% n=57/147, p=0.129) were observed in immediate induction group. Conclusion: The mean pre-labour rupture of membranes to delivery interval and hospital stay was significantly less in immediate induction when compared to expectant management with delayed induction group. Rates of caesarean sections and...................
format	article
author	Sehrish Gul Mahwash Jamil Ayesha Basharat Muhammad Aleem Khan
author_facet	Sehrish Gul Mahwash Jamil Ayesha Basharat Muhammad Aleem Khan
author_sort	Sehrish Gul
title	EARLY PLANNED BIRTH: A BETTER WAY TO MANAGE PRE-LABOR RUPTURE OF MEMBRANES AT TERM
title_short	EARLY PLANNED BIRTH: A BETTER WAY TO MANAGE PRE-LABOR RUPTURE OF MEMBRANES AT TERM
title_full	EARLY PLANNED BIRTH: A BETTER WAY TO MANAGE PRE-LABOR RUPTURE OF MEMBRANES AT TERM
title_fullStr	EARLY PLANNED BIRTH: A BETTER WAY TO MANAGE PRE-LABOR RUPTURE OF MEMBRANES AT TERM
title_full_unstemmed	EARLY PLANNED BIRTH: A BETTER WAY TO MANAGE PRE-LABOR RUPTURE OF MEMBRANES AT TERM
title_sort	early planned birth: a better way to manage pre-labor rupture of membranes at term
publisher	Army Medical College Rawalpindi
publishDate	2021
url	https://doaj.org/article/5dfb58f9181e49f4b05470e5bac71a42
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EARLY PLANNED BIRTH: A BETTER WAY TO MANAGE PRE-LABOR RUPTURE OF MEMBRANES AT TERM

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