PREMATURE RUPTURE OF THE MEMBRANES AT TERM - A COMPARISON OF INDUCED AND SPONTANEOUS LABORS

  • 1 January 1982
    • journal article
    • research article
    • Vol. 27  (1) , 29-33
Abstract
Analysis of 150 patients at term (> 36 wk) with premature rupture of the membranes (PROM) was made. In the group followed conservatively, 87.5% (98 of 112) began labor within 48 h and only 3.6% (4 of 112) had a latent period of > 7 days. The incidence of cesarean section in patients with induced and spontaneous labors was compared in corrected groups. The induced group had a 39% (15 of 38) cesarean section rate vs. 12% (11 of 91) in the spontaneous labor group (P = 0.01). None of the patients in the study showed signs of sepsis by central cultures, and only 12.7% (19 of 150) showed febrile morbidity. A conservative approach to term patients with PROM and an unfavorable cervix for induction seems to decrease the incidence of cesarean section.

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