Premature Rupture of Membranes at Term: Immediate Induction With PGE2 Gel Compared With Delayed Induction With Oxytocin

Abstract

Objectives To compare the effectiveness, safety of immediate induction with PGE 2 gel and expectant management in terms of maternal and fetal outcome in term PROM. Methods 100 women were randomized to group A, immediate induction and group B expectant management. Results Spontaneous vaginal deliveries were more in group B. CS and operative vaginal deliveries were more in group A. Conclusion Expectant management followed by delayed induction with oxytocin is better than immediate induction with PGE 2 gel in term PROM. A good number of women go into spontaneous labor and deliver vaginally with out increase in the Cesarean section rate and infectious morbidity for mother and fetus.