WEST AFRICAN JOURNAL OF MEDICINE Spontaneous Pre-Labour Rupture of Membranes at Term: Immediate versus Delayed Induction of Labour La Rupture Pré-de la main-d’œuvre Spontanée de Membranes au Terme : Immédiat contre l’Induction Retardée de parti travailliste
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چکیده
BACKGROUND: Spontaneous pre-labour rupture of membranes (SPROM) at term is one of the most common complications of pregnancy. It is an important cause of perinatal morbidity and mortality, particularly because it is associated with a latency period from membrane rupture to delivery. OBJECTIVE: To compare the outcome of labour in women who had immediate induction of labour, with those who had delayed induction following SPROM at term. METHODS: A prospective case control study of 200 women who had either immediate induction of labour with intravaginal misoprostol tablets, or delayed induction with intravenous oxytocin infusion after an expectant period of 12 hours, at Aminu Kano Teaching Hospital, Kano, Nigeria. The outcome of labour was compared in the two groups using the Z test and Chi square test, while, p-value of less than 0.05 was taken as significant. The odds ratio (OR) and 95% confidence interval were also determined where appropriate RESULTS: Immediate induction of labour with intravaginal misoprotol resulted in lower rates of caesarean section and operative vaginal delivery, with a higher rate of spontaneous vaginal delivery. The duration of latent phase of labour and hospital stay before delivery was statistically significantly shorter in the immediate induction group. Neonatal and maternal morbidity were insignificant and comparable between
منابع مشابه
Premature rupture of membranes at term: a medical and economic rationale for active management.
DANS CE NUMÉRO (PAGE 1519), le Dr Amiram Gafni et ses collègues démontrent que l’induction immédiate du travail par l’oxytocine coûte beaucoup moins cher que l’induction à la prostaglandine ou le traitement expectant chez les femmes enceintes à terme dont la poche des eaux s’est rupturée prématurément. Même s’ils reconnaissent que leur analyse comporte certaines limites, ils ne mentionnent pas ...
متن کاملA Clinical Study on Expectant Management versus Induction of Labour in term Premature Rupture of Membranes (PROM)
Premature or Prelabour Rupture Of Membranes is classically defined as the rupture of integrity of the fetal membranes before the onset of labour and resulting in leakage of amniotic fluid [1-4]. Pre-labour rupture of membranes without spontaneous uterine contractions complicate approximately 10 % of all pregnancies, out of which 80 % occurs at term [5]. The management of PROM at term remains a ...
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Introduction: Les grossesses gémellaires sont associées à un risque de morbimortalité périnatale plus élevé que les grossesses simples. Le but de cette étude était d’évaluer la morbimortalité périnatale dans les grossesses gémellaires dans une maternité marocaine de niveau 3. Méthodes: Il s’agit d’une étude transversale comparative de la morbimortalité périnatale des nouveau-nés issus de grosse...
متن کاملRupture prématurée des membranes à terme: facteurs pronostiques et conséquences néonatales
La rupture prématurée des membranes (RPM) à terme survient dans 5 à 10% des grossesses. Elle rend compte d'une part importante de morbidité et de mortalité néonatales. Le but de cette étude est de déterminer les facteurs pronostiques maternels et obstétricaux ainsi que le devenir des nouveau-nés à terme issus d'une grossesse compliquée de rupture prématurée des membranes ayant été hospitalisés ...
متن کاملSublingual versus oral misoprostol for induction of labour in prelabour rupture of membranes at term.
OBJECTIVE To compare the efficacy of sublingual with oral misoprostol for induction of labour in primigravida with prelabour rupture of membranes at term. STUDY DESIGN Randomized controlled trial. PLACE AND DURATION OF STUDY Department of Obstetrics and Gynaecology Unit-II, Sir Ganga Ram Hospital, Lahore, from June 2004 to January 2006. METHODOLOGY The study included 100 primigravidas wit...
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