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首页> 外文期刊>International Journal of Reproduction, Contraception, Obstetrics and Gynecology >A comparative study between active and expectant management of premature rupture of membranes at term on fetomaternal and perinatal outcome in rural population
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A comparative study between active and expectant management of premature rupture of membranes at term on fetomaternal and perinatal outcome in rural population

机译：主动和预期处理胎膜早破在农村人群足月和围产期结局方面的比较研究

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Background: Premature rupture of membranes at term (PROM) is defined as a spontaneous rupture of membranes after 37 completed weeks of gestation and before the onset of regular painful uterine contractions. PROM occurs in 5-10% of all pregnancies of which approximately 80% occur at term. The study aimed to compare the maternal and neonatal outcome in patients with term PROM receiving active induction versus expectant management. Methods: The present study was a prospective randomised controlled trial, conducted on 100 term antenatal women with PROM in the Department of Obstetrics and Gynaecology, UPUMS, Saifai from January 2016 to June 2017. 50 antenatal women received immediate induction with oral misoprostol while another 50 antenatal women were expectantly managed for 24 hours. The latency period, PROM delivery interval, maternal and neonatal outcome were compared and subjected to statistical analysis. Results: 42% of active management group and 30% of expectant management group had a latency period of 12-20 hours and results were found to be statistically significant (p value = 0.005). There was no statistically significant difference in the rate of caesarean section, maternal and neonatal morbidity in both the groups. Conclusions: Immediate labour induction in patients with term PROM resulted in significant shortening of latent period and PROM to delivery interval without any increase in caesarean section rate as compared to expectant management group.
机译：背景：足月胎膜早破（PROM）定义为在妊娠37周后且开始出现常规子宫疼痛性收缩之前，胎膜自发破裂。 PROM发生在所有怀孕的5-10％，其中大约80％在足月发生。该研究旨在比较足月PROM接受主动诱导治疗与预期治疗的孕妇的母亲和新生儿结局。方法：本研究是一项前瞻性随机对照试验，于2016年1月至2017年6月在赛发市万国邮联妇产科妇产科进行了100例足月分娩的PROM产前妇女的研究。50例产前妇女立即接受米索前列醇口服诱导，另外50例预期对产前妇女进行24小时的治疗。比较潜伏期，PROM分娩间隔，孕产妇和新生儿结局并进行统计学分析。结果：42％的积极管理组和30％的期望管理组的潜伏期为12-20小时，结果具有统计学意义（p值= 0.005）。两组的剖腹产率，孕产妇和新生儿发病率均无统计学差异。结论：与预期管理组相比，足月PROM患者立即引产导致潜伏期和PROM到分娩间隔的显着缩短，而剖腹产率没有任何增加。

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