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Premature Rupture of Membranes at Term: Immediate Induction With PGE(2) Gel Compared With Delayed Induction With
1Department of Obstetrics and Gynecology, J. J. M Medical College, Davangere, 577004 India.
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.
