Pregnancy and Childbirth Induction of labour in pregnant women with term premature rupture of membranes.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Confirmed gestational age (32-42 weeks gestation)determined last menstrual period or by ultrasound scan in the 1st trimester. A singleton pregnancy with normal fetus in vertex presentation. Premature rupture of membranes confirmed by visualizing a pool of amniotic fluid at a sterile speculum examination and AFI less than 5. Absence of other indications for urgent induction of labor No signs of active labor, no abdominal pain on admission.
Exclusion criteria
Exclusion criteria: Known hypersensitivity or any contraindications to prostaglandins (e.g.gluoma or sickle cell disease). Multiple pregnancy. Multiparity Contraindication to vaginal birth such as previous uterine surgery, contracted pelvis or malpresentation. Estimated fetal weight more than 4 kg or less than 2 kg Placenta previa or unexplained vaginal bleeding. Evidence of chorioamnionitis. Medical diseases e.g. cardiovascular disease or chronic renal failure.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The number of women who will succeed in delivering vaginally | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of excess uterine activity,labor induction to delivery interval, meconium stained liquor and mode of delivery | — |
Countries
Egypt
Contacts
Lecturer in Obstetrics and Gynecology (Menoufiya University)