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[Frequency of cesarean section in at-term pregnancies with premature rupture of membranes]

A Villalobos1, M E Coutiño García

  • 1Hospital Regional de Especialidades Dr. Ignacio Morones Prieto Instituto Méxicano del Seguro Social, Monterrey N.L.

The purpose of the present study was to evaluate cesarean section frequency in patients with premature rupture of membranes (PROM) at term, after active management, independent Bishop score. One hundred and four patients was to evaluate, and they was classified in four groups: group 1. nulliparous patients with favorable cervix, group 2. nulliparous patients with unfavorable cervix, group 3. previous delivery patients with unfavorable cervix, group 4. previous delivery patients with favorable cervix. Cesarean section percentage was: 15% in group 1, 24% in group 2, 17% in group 3, and 0% in group 4. Attempt should make to diminish cesarean section frequency, maybe with an expectant management in those patients with PROM at ther and unfavorable cervix.

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