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PREMATURE RUPTURE OF MEMBRANES AT TERM: IMMEDIATE INDUCTION OF LABOR VERSUS EXPECTANT MANAGEMENT

Authors: Akintayo A, Adeyemi B, Kuti , Akin-akintayo O, OLALEYE Atinuke , Badejoko O, Bakare Babatola

Publication Type: Journal article

Journal: 120

ISSN Number:

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Abstract

Objective: To compare the maternal outcomes of immediate induction of labor with expectant management
in women presenting with premature rupture of membranes (PROM) at term.
Methods: One hundred and fifty two women with PROM at term were randomized into either immediate
induction of labor with oxytocin or expectant management for a period of 12 hours. The primary outcome
measure was the incidence of clinical endometritis in each group. Secondary outcomes were the mode of
delivery, the neonatal outcome and the proportion of women in the expectant management group that
progressed to spontaneous labor.
Results: The immediate induction arm had a lower caesarean section rate, (7.9% vs 28.9%, P=0.001), higher
spontaneous vaginal delivery rate (92.1% vs 71.1%; P=0.001) and lower incidence of clinical endometritis
(0% vs 5.3%, P=0.006), when compared with the expectant management arm. The estimated duration of
labor was shorter in the expectant management arm (8.9±2.17hours vs 10.6±2.35hours; P=<0> Neonatal morbidity rates were comparable in both groups.
Conclusion: Immediate induction of labor in women with PROM at term resulted in significantly lower rate
of infectious morbidity without increasing the risk of operative delivery. It is therefore recommended as the
management option of choice.

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Akintayo,A.A Adeyemi,A.B Kuti,O. Akin-akintayo,O.O OLALEYE,A. Badejoko,O.O Bakare,B. . (0000). PREMATURE RUPTURE OF MEMBRANES AT TERM: IMMEDIATE INDUCTION OF LABOR VERSUS EXPECTANT MANAGEMENT, 31 (), 31-31.

Akintayo,A.A Adeyemi,A.B Kuti,O. Akin-akintayo,O.O OLALEYE,A. Badejoko,O.O Bakare,B. . "PREMATURE RUPTURE OF MEMBRANES AT TERM: IMMEDIATE INDUCTION OF LABOR VERSUS EXPECTANT MANAGEMENT" 31, no (), (0000): 31-31.

Akintayo,A.A and Adeyemi,A.B and Kuti,O. and Akin-akintayo,O.O and OLALEYE,A. and Badejoko,O.O and Bakare,B. and . (0000). PREMATURE RUPTURE OF MEMBRANES AT TERM: IMMEDIATE INDUCTION OF LABOR VERSUS EXPECTANT MANAGEMENT, 31 (), pp31-31.

AkintayoAA, AdeyemiAB, KutiO, Akin-akintayoOO, OLALEYEA, BadejokoOO, BakareB, . PREMATURE RUPTURE OF MEMBRANES AT TERM: IMMEDIATE INDUCTION OF LABOR VERSUS EXPECTANT MANAGEMENT. 0000, 31 ():31-31.

Akintayo,Akinyemi A, Adeyemi,Adebanjo B, Kuti,Olufemi , Akin-akintayo,Oladunni O, OLALEYE,Atinuke , Badejoko,Olusegun O, and Bakare,Babatola . "PREMATURE RUPTURE OF MEMBRANES AT TERM: IMMEDIATE INDUCTION OF LABOR VERSUS EXPECTANT MANAGEMENT", 31 . (0000) : 31-31.

A.Akinyemi A A.Adebanjo B K.Olufemi A.Oladunni O O.Atinuke B.Olusegun O & B.Babatola , "PREMATURE RUPTURE OF MEMBRANES AT TERM: IMMEDIATE INDUCTION OF LABOR VERSUS EXPECTANT MANAGEMENT" vol.31, no., pp. 31-31, 0000.

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