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. 2011 Oct;61(5):516-8.
doi: 10.1007/s13224-011-0086-8. Epub 2011 Nov 16.

Premature Rupture of Membranes at Term: Immediate Induction With PGE(2) Gel Compared With Delayed Induction With Oxytocin

B Poornima  1 , D B Dharma Reddy
Affiliations

Premature Rupture of Membranes at Term: Immediate Induction With PGE(2) Gel Compared With Delayed Induction With Oxytocin

B Poornima et al. J Obstet Gynaecol India. 2011 Oct.

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.

Keywords: Expectant management; Immediate induction; Oxytocin; PGE2 gel; PROM.

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References

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