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.