Maternal and fetal outcome of prelabor rupture of membranes at term expectant management

Abstract

This descriptive study was carried out to analyze the maternal and fetal outcome of 24 hours expectant management`: in patients of PROM at term. 100 women presenting with prelabor rupture of membranes at term were included. All the patients were managed conservatively for 24 hours, followed by induction if labor did not start spontaneously, or if signs of chorioamnionitis developed at any stage. Magnitude of PROM during the year 2002 was` 7.008%. Spontaneous labor rate with in 24 hours was 84%. 2% patients developed signs of chorioamnionitis in less than 24 hours and 14% patient did not enter into spontaneous labor after 24 hours of PROM. 94% patients with PROM delivered vaginally while 6 caesarian sections were carried out. Postnatal complications were observed in 17% of patients. These included chorioamnionitis 2%, PPH 7%, puerperal pyrexia 4%, wound infection 3%, and DVT in 1% patient. Mean Apgar score of babies was 5.90, 1 min after birth and 8.7, 5 min after birth. Maximum babies had APGAR score of 9 at 5 min after birth, 8 babies were admitted to ICU and only 1 baby developed proven neonatal infection. This study shows that conservative management is safe with excellent maternal and neonatal outcome.