Mode of Delivery, Premature Rupture of Membranes at Term
Conditions
Keywords
Complications and outcomes maternal and neonatal, Induction of labor, Prostaglandins, Foley Catheter
Brief summary
Premature rupture of membranes at term is a rupture that occurs at term (\>37SA) before the start of labor. It complicates 5 to 10% of pregnancies and 6 to 22% of term pregnancies. Althought some studies support efficacy of the Foley catheter for cervical ripening at term in induction of labor with intact membranes, it has not been well studied in women with premature rupture of membranes at term. The aim of this retrospective study at the Montpellier University Hospital is to evaluate the effect of the Foley catheter compared to Propess in women with premature rupture of membranes at term, on the induction of labor and the maternal and fetal complications.
Interventions
Mode of delivery, maternal and neonatal outcomes/complications
Sponsors
Study design
Eligibility
Inclusion criteria
* Singleton Pregnancy \>37 weeks of gestation * Premature Rupture Of Membranes * Cephalic presentation * Unfavorable cervix (BISHOP \<7) * No contraindication of induction methods
Exclusion criteria
* Multiple gestation * PROM with spontaneous labor * Induction of labor with both methods * Previous cesarean section * Unexplained metrorrhagia / Placenta praaevia * Suspected intraamniotic infection * Herpes simplex virus * Human immunodeficiency virus * Any contraindication to vaginal delivery * Latex allergy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| mode of delivery (vaginal delivery or cesarean) | 1 day | mode of delivery (vaginal delivery or cesarean) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| maternal and fetal outcomes | 1 day | looking for maternal complications (endometritis, chorioamniotitis, transfusion, post-partum hemorrhage) and neonatal complications (sepsis, apgar\<7 at 5minutes, pH \<7,15, neonatal intensive care unit) |
Countries
France