Early V/S Delayed Induction of Labour in Patients With Prelabour Rupture of Membranes

Inclusion Criteria: 1. singleton pregnancy with cephalic presentation 2. gestational age between 37-41 weeks as calculated by last menstrual period date or early dating ultrasoumd 3. Spontaeous PROM as confirmed by history and sterile speculum examination 4. modified bishop score \<6 5. no detectable uterine contractions on admission 6. clear liqour and duration of PROM \<6 hours at admission Exclusion Criteria: 1. meconium stained liqour 2. patients with features of chorioamnionitis (fever , tachycardia, abdominal tendernessor foul smeeling vaginal discharge 3. maternal medical diseaseincluding prompt delivery or C section like severe preeeclampsia, renal or cardiac disease 4. presence of contraindications to labour such as placenta previa , Vasa previa,previous uterine surgery (e.g myomectomy ) that increases the risk of uterine rupture , previous C section 5. history of antepartum hemorrhage 6. Moderate to severe IUGR as diagnosed on ultrasound and doppler studies