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....
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2021-04-01
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| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://pafmj.org/index.php/PAFMJ/article/view/6666 |
| _version_ | 1818842022255001600 |
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| 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 |
| collection | DOAJ |
| 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................... |
| first_indexed | 2024-12-19T04:35:22Z |
| format | Article |
| id | doaj.art-5dfb58f9181e49f4b05470e5bac71a42 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-12-19T04:35:22Z |
| publishDate | 2021-04-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-5dfb58f9181e49f4b05470e5bac71a422022-12-21T20:35:46ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422021-04-01712545486666EARLY PLANNED BIRTH: A BETTER WAY TO MANAGE PRE-LABOR RUPTURE OF MEMBRANES AT TERMSehrish Gul0Mahwash Jamil1Ayesha Basharat2Muhammad Aleem Khan3Salma Kafeel Medical Center, Islamabad PakistanHITEC Institute of Medical Sciences, Taxila/National University of Medical Sciences (NUMS) PakistanAl-Nafees Medical College & Hospital, Islamabad PakistanNuclear Medicine Imaging, Islamabad PakistanObjective: 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...................https://pafmj.org/index.php/PAFMJ/article/view/6666expectant managementfeto-maternal outcomeslabor inductionpre-labour rupture of membranes |
| spellingShingle | Sehrish Gul Mahwash Jamil Ayesha Basharat Muhammad Aleem Khan EARLY PLANNED BIRTH: A BETTER WAY TO MANAGE PRE-LABOR RUPTURE OF MEMBRANES AT TERM Pakistan Armed Forces Medical Journal expectant management feto-maternal outcomes labor induction pre-labour rupture of membranes |
| title | 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_short | 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 |
| topic | expectant management feto-maternal outcomes labor induction pre-labour rupture of membranes |
| url | https://pafmj.org/index.php/PAFMJ/article/view/6666 |
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