A COMPARITIVE STUDY ON INDUCTION OF LABOUR VERSUS EXPECTANT MANAGEMENT IN TERM PREMATURE RUPTURE OF MEMBRANES IN TERTIARY CARE HOSPITAL,VISAKHAPATNAM.

DR KAVITHA GAYAK; DR NIRUPAMA PALAKODETI

Volume : VIII, Issue : X, October - 2019

A COMPARITIVE STUDY ON INDUCTION OF LABOUR VERSUS EXPECTANT MANAGEMENT IN TERM PREMATURE RUPTURE OF MEMBRANES IN TERTIARY CARE HOSPITAL,VISAKHAPATNAM.

Dr Kavitha Gayak, Dr Nirupama Palakodeti

Abstract :

Premature rupture of memanes (PROM), also called Prelabour Rupture Of Memanes, is classically deﬁned as rupture of memanes before labour and accounts for 0.8-0.9% of all pregnancies at term. this study was conducted over a period of 14 months ( from March 2018 to May 2019) in a tertiary care medical college . A total of 100 term PROM patients were recruited in our study – and divided into two groups randomly--50 (Group A) patients were managed conservatively and 50 (Group- B) patients underwent induction of labour. Both these patient groups were studied to compare the feto-maternal outcome. Group-A (conservative management group) patients were observed to await the spontaneous onset of labour pains for at least 24 hours. Patients in group B were induced with either - PGE1 tab (misoprostol) 25 �gm 4 hourly orally or iv oxytocin infusion. the PROM-delivery interval was < 12 hours in 72 % of induced groups (Group B) and 10% (5) in group- A (conservative or expectant group). LSCS rate was 10 % in group-A (expectant group) & 15 % in group –B (induced group). Sepsis rate, maternal and fetal, hospital stay, NICU admission & duration of NICU stay were notably higher in group – A (expectant management group). therefore, from our study we concluded that immediate induction of labour in term PROM cases shortens the PROM- delivery interval, hospital stay, NICU stay and reduction in both maternal & neonatal sepsis.