PREMATURE RUPTURE MEMBRANE AT TERM WITH UNFAVOURABLE CERVIX

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Published Dec 3, 2009
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Vol. 87 No. 9 (2009): Issue Sep 2009

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El Fekih Chiraz
Ouerdiane Nadia
Mrezguia Chaouki
Mourali Mechaal
Douagi Mohamed
Abdennebi Monia
Ben Zineb Nabil

Abstract

Background : Between expectant attitude in hospital and labour induction, management of and premature rupture membrane at term stay controversial.
Aim: The aim of our study was to evaluate the management rupture of the membranes at term with unfavourable cervix. Material and methods : We conducted a retrospective study. An expectant delay of 24 hours had been followed by induction labour in women with favourable Bishop. Maturation by prostaglandins E2
(PGE2) was performed in case of unfavourable cervix. We administrate one dose each 24 hours (3 doses maxima). Over, labour induction by ocytocine was started. The prescription of antibioprophylaxis is systematic until delivery.
Results: We included 137 patients. 51% of patients had a spontaneous labour during the expectant delay. There was no significant difference in neonatal and maternal morbidity in case of expectant management of premature rupture membrane at term.
Conclusion: Based on our findings and a review of the literature, an expectative of 24 hours is interesting in case if unfavourable conditions. Prostaglandin E2 maturations can be performed in unfavourable cervixes.

Keywords:

Premature rupture membrane at term, unfavourable cervix, expectant management, labour induction, prostaglandins

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