Planned early birth versus expectant management (waiting) for prelabour rupture of membranes at term (37 weeks or more)

Abstract

Planned early birth versus expectant management (waiting) for prelabour rupture of membranes at term (37 weeks or more) (Review)

Performance indices of AmnioQuick Duo+ versus placental α‐microglobulin‐1 tests for women with prolonged premature rupture of membranes

“…More than 55% of women in the present study had a cesarean delivery, suggesting that pregnant women who undergo induction of labor after prolonged PROM at term are more likely to need a cesarean delivery than their counterparts whose labor begins spontaneously within 24 hours of PROM . However, this finding contrasts with those of two recent Cochrane reviews, probably because the present study population comprised only women with prolonged PROM who did not go into spontaneous labor or delivery within 24 hours of PROM. One review found that only 15 in 100 women had a cesarean delivery after either expectant monitoring or induction of labor, and 2 in 100 neonates in each group had proven early‐onset neonatal sepsis .…”

Polish Gynecological Society Recommendations for Labor Induction

“…In expectant management, spontaneous uterine contractions occur within 72 hours in 95% of women with PPROM [14]. Active management aimed at the induction of uterine contractions through the administration of oxytocin or prostaglandins reduces the risk of inflammatory complications in the mother without increasing the incidence of operative delivery [15]. The results of randomized trials also indicate that antibiotic therapy and hospitalization in intermediate and intensive care units are less likely after labor induction [15].…”

“…Active management aimed at the induction of uterine contractions through the administration of oxytocin or prostaglandins reduces the risk of inflammatory complications in the mother without increasing the incidence of operative delivery [15]. The results of randomized trials also indicate that antibiotic therapy and hospitalization in intermediate and intensive care units are less likely after labor induction [15]. The use of antibiotics is recommended in pregnant in women with positive or unknown group B streptococcus (GBS) colonization [16].…”

Middle-East OBGYN Graduate Education (MOGGE) Foundation Practice Guidelines: Prelabor rupture of membranes; Practice guideline No. 01-O-19

“…Although the goal is to achieve expedited delivery, the decision whether to start induction of labor immediately or to consider initial watchful expectancy for possible spontaneous onset of labor is debatable among women who are not in active labor. Based on a Cochrane review of 23 RCTs in 2017, ACOG supports immediate induction of labor over expectant management because it reduces latency between PROM and delivery and thus, the risk of maternal and neonatal complications [1,58]. In women with intact membranes, cervical bishop score is used to assess cervical favorability and to determine whether intravenous oxytocin, misoprostol or Foley bulb is selected for induction of labor.…”