Controlled comparison of induction versus expectant care for prelabor rupture of the membranes at term
| Autor: | J. P. Holm, H. P. Ottervanger, M. J. N. C. Keirse, W. Smit |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Fetal Membranes
Premature Rupture medicine.medical_specialty Forceps Cervix Uteri law.invention Sepsis Randomized controlled trial Pregnancy law medicine Humans Labor Induced Pregnancy Complications Infectious Cesarean Section Obstetrics business.industry Vaginal delivery Pregnancy Outcome Obstetrics and Gynecology Extraction Obstetrical medicine.disease Surgery Clinical trial Neonatal infection Oxytocin Pediatrics Perinatology and Child Health Analgesia Obstetrical Labor Onset Female business medicine.drug |
| Zdroj: | jpme. 24:237-242 |
| ISSN: | 1619-3997 0300-5577 |
| DOI: | 10.1515/jpme.1996.24.3.237 |
| Popis: | This randomized clinical trial compared oxytocin induction of labor with expectant care for 48 hours after prelabor rupture of the membranes at term. Women at term with prelabor rupture of the membranes for at least 8 hours were assigned at random to induction with oxytocin or to expectant management for 48 hours followed by induction if necessary. Of 168 eligible women, 123 (73%) agreed to participate. More women in the induction group (23%) than in the expectant group (10%) had operative delivery, either cesarean section or instrumental vaginal delivery. In the induction group 41% received analgesia versus 24% in the expectant group (p < 0.005). There was no difference in the rate of maternal and neonatal infection between groups and sepsis was not observed. The active policy of oxytocin induction exposed the mother to a higher risk of operative delivery and a less comfortable labor than the 48 hours expectant care option. |
| Databáze: | OpenAIRE |
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