Vaginal birth after cesarean in women with pre-labor rupture of membranes at term

Twenty‐four versus 48 hours of expectant management in the setting of premature rupture of membranes at term among women with a prior cesarean delivery

“…In that study, an expectant management approach of up to 48 hours until spontaneous labor commenced was applied. An additional recent study suggested that a longer expectant management period was the only independent factor associated with higher TOLAC success 20 . The period up to which conservative management was allowed was not mentioned in the latter study.…”

“…Previous studies evaluating TOLAC outcomes in the setting of PROM and the role of expectant management in this regard are limited. 20 Fishel Bartal et al reported a higher rate of uterine rupture and maternal complications in those undergoing IOL as compared with spontaneous onset of labor. 17 In that study, an expectant management approach of up to 48 hours until spontaneous labor commenced was applied.…”

“…These findings are encouraging and can affect the management approach in women with TOLAC who have PROM. Previous studies evaluating TOLAC outcomes in the setting of PROM and the role of expectant management in this regard are limited 20 . Fishel Bartal et al reported a higher rate of uterine rupture and maternal complications in those undergoing IOL as compared with spontaneous onset of labor 17 .…”

“…An additional recent study suggested that a longer expectant management period was the only independent factor associated with higher TOLAC success. 20 The period up to which TA B L E 1 Characteristics of women with TOLAC who presented to the delivery room with term PROM but not in active phase of labor Abbreviations: GBS, group B Streptococcus; PROM, premature rupture of membranes. a Failed trial of labor after cesarean (TOLAC): women who delivered by cesarean section.…”