Early Induction Versus Expectant Management in Term Prom

Abstract

BACKGROUND The objective was to study the effectiveness and maternal and foetal outcome in term pregnancy with early induction of labour with cervical PGE2 versus expectant management. MATERIALS AND METHODS This is a prospective study conducted in the Department of Obstetrics and Gynaecology over a period of 1 year on a sample size of 144. Subjects were divided into two groups-Group A containing subjects with expectant management and Group B with subjects who were induced with intracervical PGE2 and their outcome was compared. RESULTS In Group A, 70.83% of cases went into spontaneous labour within 24 hours and in Group B, induction was successful in 56.94% cases. Mean PROM to delivery interval was 22.36±7.04 hours for expectant group and 15.5±7.03 hours for induction group (P=<0.0001, HS). There was significantly higher rate of vaginal deliveries in expectant group and significantly higher rate of LSCS in induction group. Neonatal antibiotic requirement was significantly higher in expectant group. CONCLUSION Early induction of labour in cases of PROM at term with PGE2 GEL results in reduction of latency of labour and also in increased operative intervention. Expectant management has greater maternal and neonatal morbidity.