Nasira Tasnim.
Spontaneous pre-labour rupture of membranes (PROM) at term.
Pak J Med Res Jan ;39(2):66-9.

A randomized prospective study involing 152 women with pre labour spontaneous rupture of memberanes at term was conducted over a period of three years (from 1st October 1993 to 30th September, 1996) at PIMS Islamabad. Out of these, 80 women were managed conservatively while 72 were managed actively. Comparison of two groups showed that out of 80 consevatively managed patients 65 (81.3%)went into spontaneous labour within 24 hours. There were lesser number of caesarean sections (10% vs 29%)in this group and lesser number of forceps deliveries (3.4% vs 29%). Fewer women required analgesia (48.7% to 70.8% ). Mean number of vaginal examination was lesser (3.38% vs 4.64%). Mean duration of second stage was shorter in this group (26.25 minutes to 42 minutes), although mean duration of 1st stage was similar in the two groups. Mean Apgar score (A/S) was higher in conservative group 9/10 vs 7/10.while mean 5 minutes A/S was compareable in two groups. Maternal febrile morbidity was lower in conservatively managed women (9.5% vs 25%). Neonatal mobidity was also lower in this group(0% to 4%), there was no neonatal or maternal mortality in either of the two groups.

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