Comparison of induction and expectant management of prelabour rupture of membranes at term for maternal outcome

Aim: to compare the outcome of active versus expectant management in patients with prom at term.results: the frequency of mode of delivery of patients. there were 187(67%) patients were svd in group a and 109(39%) patients were in group b. fetal distress had 63(22%) patients in group a and 100(36%) in group b. similarly failed induction observed in 15(5%) patients in group a. there was comparison of lower segment caesarean section in both groups. ninety three (33%) patients were delivered as lscs in group a while 171(61%) patients were in group b. (p <0.001),comparison of chorioamnionitis of patient in both groups. there were only 15 (5%) patients of chorioamnionitis in group a while 71(25%) patients had in group b,(p <0.001).conclusion: active management with induction decreases the risk of chorioamnionitis,usually patients are delivered within 24 hours without increasing caesarean delivery rate and decreases the need for oxytocin augmentation. © 2014 pakistan journal of medical and health sciences. all rights reserved.