Management of prelabor rupture of membranes at term

Sperling, L.; Schantz, Anne; Wåhlin, Anne; Duun, Susanne; Jaszczak, P; Scherling, B; Carstensen, A; Frese, Susanne; Hvilsom, Elsebeth; Ploug-Jensen, Birgit

doi:10.3109/00016349309021155

Cited by 35 publications

(14 citation statements)

References 4 publications

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“…This was comparable to the results of our study. It is also similar to the observation of Sperling et al where 40 % went in to spontaneous labour within 12 hours thus the use of oxytocin can be avoided in a good number of patients by delaying induction of labour without compromising maternal and neonatal condition (10) . Per vaginal examination was done for both the groups at the time of admission.…”

Section: Discussionsupporting

confidence: 88%

A Comparative Study of Immediate Induction and Twelve Hour Expectant Management of Labour in Term Premature Rupture of Membranes

Balakrishnan¹

2018

jmscr

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Section: Discussionsupporting

confidence: 88%

A Comparative Study of Immediate Induction and Twelve Hour Expectant Management of Labour in Term Premature Rupture of Membranes

Balakrishnan¹

2018

jmscr

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“…A type I error of 10% and type II error of 20% together with a power of 80% and a level of significance of 0.05 were used as basic assumptions. Based on a previous study, 68% of patients with PROM went into spontaneous labor within 24 h (15). We therefore assumed a 30% increase in this number is significant.…”

Section: Methodsmentioning

confidence: 99%

Oral misoprostol for induction of labor in prelabor rupture of membranes (PROM) at term: a randomized control trial

Cheung¹,

Yeo²,

Wong³

et al. 2006

Acta Obstet Gynecol Scand

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“…Assuming that 68% in the conservative group would be in active labour within 24 hours of the prelabour rupture of membranes 17 , our sample size of 30 patients in each group was based on finding a 30% increase in this number in the actively managed misoprostol group (power 80%, α= 0.05, β= 0.2). Statistical analysis included relative risks with 95% confidence intervals for discrete data and mean difference with 95% of the confidence intervals of the mean difference for continuous data, using GraphPad Instat Version 3.01 (GraphPad Software, San Diego, California, USA) and SPSS for Windows Version 10.0 (SPSS, Chicago, USA).…”

Section: Methodsmentioning

confidence: 99%

Active management of term prelabour rupture of membranes with oral misoprostol

Shetty

Stewart

et al. 2002

BJOG

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Objective To compare the active management of term prelabour rupture of membranes with oral misoprostol with conservative management for 24 hours followed by induction with oxytocin or prostaglandin E 2 (PGE 2 ) gel. Design A non-blinded randomised controlled trial.Setting Induction and labour wards, Aberdeen Maternity Hospital.Population Sixty-one women with confirmed prelabour rupture of the membranes at ! 36 weeks of gestation.Methods The women were randomised to 50 Ag of oral misoprostol repeated every 4 hours, if required, to a maximum of five doses (active group), or to induction of labour with PGE 2 gel or oxytocin only if not in spontaneous labour 24 hours after prelabour rupture of membranes (conservative group). Main outcome measures Number of women in active labour within 24 hours of the prelabour rupture of membranes, preference of women for any one particular method of management in any subsequent pregnancy with prelabour rupture of membranes. Results 93.3% of the active group and 54.8% of the conservative group were in spontaneous labour within 24 hours of the prelabour rupture of membranes (RR 1.7, 95% CI 1.2 to 2.4). Of those achieving a vaginal delivery, 72% of the active group did so within 24 hours of the prelabour rupture of membranes as compared with 26.9% of the conservative group (RR 2.7, 95% CI 1.4 to 5.3, P ¼ 0.002). There were no significant differences in the neonatal or maternal outcomes. In the active group, 78% felt they would have the same method of induction as compared with 40% in the conservative group (RR 1.9, 95% CI 1.1 to 3.3, P ¼ 0.03). Conclusions Active management with oral misoprostol resulted in more women going into labour and delivering within 24 hours of the prelabour rupture of membranes with no increase in maternal or neonatal complications. Women tended to view active management of prelabour rupture of membranes more positively. Oral misoprostol might be an option to consider in those wishing active management.

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Management of prelabor rupture of membranes at term

Abstract: If a woman wants a short labor, she will benefit from early induction. We did not find statistical differences in the rate of obstetric intervention or in the maternal morbidity, but there was a tendency towards adverse effects of late induction.

Cited by 35 publications

References 4 publications

A Comparative Study of Immediate Induction and Twelve Hour Expectant Management of Labour in Term Premature Rupture of Membranes

A Comparative Study of Immediate Induction and Twelve Hour Expectant Management of Labour in Term Premature Rupture of Membranes

Oral misoprostol for induction of labor in prelabor rupture of membranes (PROM) at term: a randomized control trial

Active management of term prelabour rupture of membranes with oral misoprostol

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