Premature Rupture of Membranes at 34 to 37 Weeks' Gestation

Assiut University120 enrolled

Overview

Prelabour rupture of membrane is deﬁned as rupture of membranes prior to the onset of labour. Approximately 8% of pregnant women at term experience PROM, but the decision as to how term PROM should be managed clinically remains controversial, and there is wide variation in practice with no clear consensus on what constitutes optimal treatment. Although for the majority of women labour will start spontaneously within 24 hours following term PROM, up to 4%of women will not experience spontaneous onset of labour within seven days.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

120

Conditions

Premature Rupture of Membrane

Interventions

induction of laborPROCEDURE

oxytocin intravenous drip

follow upPROCEDURE

hospitalization and antibiotics

Eligibility

Sex: FEMALE

Medical Language ↔ Plain English

Inclusion Criteria: * Preterm premature rupture of membranes. * Singleton gestation. * Pregnant between 34 weeks 0 days to 36 weeks 6 days. Exclusion Criteria: * Non cephalic presentation. * fetal distress. * Labour on admission. * Medical or obstetric complications such as(suspected chorioamnionitis ,hypertensive disorders, diabetes mellitus , active genital herpes , placenta previa , infection, meconium stained amniotic fluid ,severe fetal anomalies).

Outcomes

Primary Outcomes

the percentage of patients with chorioamnionitis

Clinical chorioamnionitis is defined in the absence of other causes of hyperpyrexia by a temprature of \>38 C with either uterine tenderness , leucocytosis , maternal or fetal tachycardia , or foul smelling vaginal discharge

Time frame: 24 hours

Data from ClinicalTrials.gov

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