Background: Reduced fetal movements (RFM) define as the decrease in the normal movement of a developing fetus in the womb. It is important to monitor fetal movements during pregnancy because these can be an indication of the baby's health and wellbeing. The management of RFM in the third trimester includes fetal monitoring Study design: It is a prospective observational study conducted for the duration of one year from June 2021 to May 2022. Material and Methods: The study was conducted on 150 patients who visited Obs/ Gynae department of LUMHS Hyderabad, Jamshoro and MBBS Medical College Mirpur Azad Kashmir during the course of 1 year. Average age of patients was 32 years with 30 of them reported to have primary education while the remaining had secondary or higher level of studies. The BMI of 40 patients was more than 30 kg/m2 while 35 had BMI between 25-30 kg/m2. Results: The neonatal outcomes in patients were evaluated after reduced fetal growth. There were 60 patients with one episode of RFM and 72 were with multiple RFM episodes. Mortality rate, abnormal CTG (Cardiotocography), neonatal unit (NNU) admission, severe morbidity, low Apgar score and Birth weight <10th centile were some of the outcomes studied Conclusion: RFM leads to high risk of still birth, Caesarean and severe morbidity for the new born. Although on episode of RFM can’t be considered as a necessary evidence of compromised birth but multiple episodes indicates towards several risks related to pregnancy. Keywords: Reduced fetal movements, neonatal outcomes and third trimester.

Background: Pre-labour rupture of membrane (PROM) at term is one of the most common demonstration for labour induction. PROM is the fissure of membrane before the arrival of orderly uterine shrinkage at term gestation. About 8% of the pregnant women have influence of this condition. PROM also occur when the amniotic sac ehich surround the fetus fissure before the onset of labour leading to the risk of maternal and fetal infection. Study design: It is a randomized and controlled study conducted at Obs and Gynae Department, Civil Hospital, LUMHS, Jamshoro and Divisional Headquarters Teaching Hospital Mirpur Azad Kashmir for the duration of six months from February 2022 to July 2022. Material and Methods: The study comprised of two groups. Each group had 30 patients. The patients that were not fulfilling the inclusion criteria were excluded from the study. The average age of patients in group 1 that is oxytocin induced was 25.4±5.4 years. Patients with prostaglandin E2 induction were included in group2 with average age as 24.7±4.5 years. Group1 had 35.9±4.2 while the average value for group 2 was 36.7±5.3. Results: The induction active labor interval was 5.9±2.1 for Oxytocin induction group while for Prostaglandin E2 induction group the value was 6.3±2.2. Whereas the induction delivery was 14.3±1.9 for Oxytocin induction group and 15.1±2.1 for Prostaglandin E2 induction group. Conclusion: It is concluded that oxytocin is a better drug for labor pain induction as compared to the prostaglandin in case of Pre-labour rupture of membrane at term. To route oxytocin via an intravenous pathway leads to a shorter delivery time and reduced rate of different infections in the mother. Keywords: PROM at term, Intravenous oxytocin and vaginal prostaglandin.