Foley vs Propess for Induction of Labor in Women With Term PROM : Mode of Delivery, Maternal and Fetal Outcomes

University Hospital, Montpellier188 enrolled

Overview

Premature rupture of membranes at term is a rupture that occurs at term (\>37SA) before the start of labor. It complicates 5 to 10% of pregnancies and 6 to 22% of term pregnancies. Althought some studies support efficacy of the Foley catheter for cervical ripening at term in induction of labor with intact membranes, it has not been well studied in women with premature rupture of membranes at term. The aim of this retrospective study at the Montpellier University Hospital is to evaluate the effect of the Foley catheter compared to Propess in women with premature rupture of membranes at term, on the induction of labor and the maternal and fetal complications.

Study Type

OBSERVATIONAL

Enrollment

188

Conditions

Premature Rupture of Membranes at Term Mode of Delivery

Interventions

Mode of delivery, maternal and neonatal outcomes/complicationsOTHER

Eligibility

Sex: FEMALEMin age: 18 Years

Medical Language ↔ Plain English

Inclusion criteria: * Singleton Pregnancy \>37 weeks of gestation * Premature Rupture Of Membranes * Cephalic presentation * Unfavorable cervix (BISHOP \<7) * No contraindication of induction methods Exclusion criteria: * Multiple gestation * PROM with spontaneous labor * Induction of labor with both methods * Previous cesarean section * Unexplained metrorrhagia / Placenta praaevia * Suspected intraamniotic infection * Herpes simplex virus * Human immunodeficiency virus * Any contraindication to vaginal delivery * Latex allergy

Outcomes

Primary Outcomes

mode of delivery (vaginal delivery or cesarean)

Time frame: 1 day

Secondary Outcomes

maternal and fetal outcomes

looking for maternal complications (endometritis, chorioamniotitis, transfusion, post-partum hemorrhage) and neonatal complications (sepsis, apgar\<7 at 5minutes, pH \<7,15, neonatal intensive care unit)