Premature Rupture of Membranes at Term: Immediate Induction With PGE(2) Gel Compared With Delayed Induction With Oxytocin

足月胎膜早破:立即使用 PGE₂ 凝胶引产与延迟使用催产素引产的比较

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Abstract

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.

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