Planned Early Birth Versus Expectant Management of Premature Rupture of Membranes At Term

Background: At term, immediate delivery is found to be associated with a lower risk of maternal infection and high maternal satisfaction as compared to expectant management. Objective: This study was done to determine the neonatal and maternal outcomes of planned early birth versus expectant birth...

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Main Author: Zainab Muhsin Zwain
Format: Article
Language:English
Published: College of medicine/ University of Diyala 2018-10-01
Series:Diyala Journal of Medicine
Subjects:
Online Access:http://djm.uodiyala.edu.iq/index.php/djm/article/view/146
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author Zainab Muhsin Zwain
author_facet Zainab Muhsin Zwain
author_sort Zainab Muhsin Zwain
collection DOAJ
description Background: At term, immediate delivery is found to be associated with a lower risk of maternal infection and high maternal satisfaction as compared to expectant management. Objective: This study was done to determine the neonatal and maternal outcomes of planned early birth versus expectant birth in management of prelabour rupture of membranes at term. Patients and Methods: This study was non-randomized interventional study conducted at the labour ward of the maternity teaching hospital in Erbil city, Kurdistan-Iraq from 1st of January to 30th of June, 2010. A sample of one hundred eligible pregnant women was non-randomly assigned in two groups. Both groups were matched for age and gestational age. The first group included 50 women in which labour was induced with oxytocin. In the second group, 50 women were included for labour to begin spontaneously. Results: Mode of delivery was significantly (p<0.001) associated with parity in both study groups. The differences in maternal and neonatal outcomes for both study groups were not significant. The time to active labour from admission, time of active labour and time from rupture membrane to delivery were significantly (p<0.001, 0.03, <0.001, respectively) longer among women of expectant group.  Conclusion: Maternal and neonatal outcomes of both induction and expectant labour were similar although, labour duration was longer among women in expectant group.
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spelling doaj.art-7783a0f0d7fe4642ad35088b920504b32023-11-24T23:24:40ZengCollege of medicine/ University of DiyalaDiyala Journal of Medicine2219-97642617-89822018-10-01122Planned Early Birth Versus Expectant Management of Premature Rupture of Membranes At TermZainab Muhsin Zwain Background: At term, immediate delivery is found to be associated with a lower risk of maternal infection and high maternal satisfaction as compared to expectant management. Objective: This study was done to determine the neonatal and maternal outcomes of planned early birth versus expectant birth in management of prelabour rupture of membranes at term. Patients and Methods: This study was non-randomized interventional study conducted at the labour ward of the maternity teaching hospital in Erbil city, Kurdistan-Iraq from 1st of January to 30th of June, 2010. A sample of one hundred eligible pregnant women was non-randomly assigned in two groups. Both groups were matched for age and gestational age. The first group included 50 women in which labour was induced with oxytocin. In the second group, 50 women were included for labour to begin spontaneously. Results: Mode of delivery was significantly (p<0.001) associated with parity in both study groups. The differences in maternal and neonatal outcomes for both study groups were not significant. The time to active labour from admission, time of active labour and time from rupture membrane to delivery were significantly (p<0.001, 0.03, <0.001, respectively) longer among women of expectant group.  Conclusion: Maternal and neonatal outcomes of both induction and expectant labour were similar although, labour duration was longer among women in expectant group. http://djm.uodiyala.edu.iq/index.php/djm/article/view/146Labour, Early Birth, Membranes at term
spellingShingle Zainab Muhsin Zwain
Planned Early Birth Versus Expectant Management of Premature Rupture of Membranes At Term
Diyala Journal of Medicine
Labour, Early Birth, Membranes at term
title Planned Early Birth Versus Expectant Management of Premature Rupture of Membranes At Term
title_full Planned Early Birth Versus Expectant Management of Premature Rupture of Membranes At Term
title_fullStr Planned Early Birth Versus Expectant Management of Premature Rupture of Membranes At Term
title_full_unstemmed Planned Early Birth Versus Expectant Management of Premature Rupture of Membranes At Term
title_short Planned Early Birth Versus Expectant Management of Premature Rupture of Membranes At Term
title_sort planned early birth versus expectant management of premature rupture of membranes at term
topic Labour, Early Birth, Membranes at term
url http://djm.uodiyala.edu.iq/index.php/djm/article/view/146
work_keys_str_mv AT zainabmuhsinzwain plannedearlybirthversusexpectantmanagementofprematureruptureofmembranesatterm