Pre-labour rupture of the membranes at term with unfavourable cervix

Aim: to determine the obstetrical and neonatal outcome in patients undergoing conservative and active management among those presenting with prelabour spontaneous rupture of membranes at term with unfavourable cervix. methods: the present study was carried out at obstetrical and gynaecological department,nishtar hospital,multan from october 2003 to october 2004. a total of 150 patients were included the study,75 in the conservative group and 75 in the active group. results: there were 68.75% multigravida and parity was limited to 4 in the study group. the gestational age at the time of prom was 39-40 weeks. duration of labour was limited to 12 or less than 12 hours. the spontaneous vertex delivery rate was 76% in the active group and 66% in the conservative group with p-value of <0.05. conclusion: according to our study active management in patients with prom at term can give better results as compared to conservative approach.