PREGNANCY OUTCOME OF INDUCED LABOR IN TERM PREMATURE RUPTURE OF MEMBRANE IN THREE TEACHING HOSPITALS OF ADDIS ABABA.
Premature rupture of membranes(PROM), if not followed by natural labor or delivered with in limited time period, it will get complicated by infection and reduced amniotic fluid. These complications will negatively affect maternal and perinatal outcome. Several factors affect the success of labor induction in women with term PROM and the practice varies from institution to institution. This study compares the pregnancy outcome and success of induction of labor in women with term PROM, low BISHOP score, managed with direct oxytocin induction protocol and prostaglandin followed by oxytocin protocol.
Facility based prospective comparative cross sectional study design was used on cases of term PROM, low BISHOP score in the three teaching hospitals of Addis Ababa University. As both protocols are practiced in these hospitals, mothers managed with direct oxytocin induction protocol were compared with those managed with prostaglandin and oxytocin protocol for induction of labor.
From the total 98 term PROM with low BISHOP included in the study, 49 mothers were managed with direct oxytocin protocol while the remaining were managed with prostaglandin and oxytocin protocol. Increased cesarean delivery for failed induction and non-reassuring fetal heart pattern was observed in direct oxytocin protocol group.
Prostaglandin cervical ripening reduces the burden of cesarean section in cases of term PROM with low BISHOP.
Key Words: Term PROM, Direct Oxytocin, Prostaglandin, Induction
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