Premature Rupture of Membranes at Term: Immediate Induction With PGE2 Gel Compared With Delayed Induction With Oxytocin

Objectives

To compare the effectiveness, safety of immediate induction with PGE₂ 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 PGE₂ 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.