Premature rupture of membranes at term with an unfavorable cervix: comparison of expectant management, vaginal prostaglandin, and oxytocin induction
| Autor: | Kenneth G. Perry, Allbert, Martin Rw, Rogers Lw, McCaul Jf th, John C. Morrison |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
medicine.medical_specialty
Fetal Membranes Premature Rupture Time Factors Prom Oxytocin Dinoprostone Pregnancy Oxytocics Medicine Humans Prospective Studies Prostaglandin E2 Prospective cohort study Cervix Gynecology Fetus Labor Obstetric business.industry Cesarean Section Incidence (epidemiology) General Medicine Length of Stay medicine.disease female genital diseases and pregnancy complications medicine.anatomical_structure Female business Premature rupture of membranes medicine.drug |
| Zdroj: | Southern medical journal. 90(12) |
| ISSN: | 0038-4348 |
| Popis: | BACKGROUND Our objective was to determine the best treatment for parturients at term with an unfavorable cervix and premature rupture of membranes (PROM). METHODS In this prospective study, 96 women with PROM and an unfavorable cervix were randomized into one of three treatment groups: oxytocin induction, vaginal prostaglandin E2 gel followed by oxytocin, or expectant management. RESULTS Length of labor, cesarean section rate, and maternal/neonatal morbidity were not significantly different. In contrast, the interval from PROM until delivery and length of hospital stay were significantly longer in the expectantly managed group than in the other groups. Four of the patients who received expectant management required delivery because of nonreassuring fetal assessments. CONCLUSIONS Expectant management of PROM at term significantly prolongs hospital stay without decreasing the incidence of abdominal delivery or infectious morbidity. There appears to be potential for cord compression in patients managed expectantly without continuous electronic fetal surveillance. |
| Databáze: | OpenAIRE |
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