Expectant versus active management in term prelabor rupture of membranes (PROM) - a prospective study in a tertiary care hospital
Objectives: This study was done with the main objectives of assessing the prevalence, identifying the associated factors and comparing feto-maternal outcomes in expectant versus active management in term PROM. Methods: This was a prospective cohort study where two convenience groups were categorized...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Arnab Berma [verfasserIn] Amita Ray [verfasserIn] Nrityendra Narayan Bhattacharya [verfasserIn] Koushik Basu [verfasserIn] Bharath Kumar [verfasserIn] Sougato Kumar Sarkar [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2019 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
In: New Indian Journal of OBGYN - Barpeta Obstetrics and Gynaecological Society, 2018, 6(2019), 1, Seite 36-41 |
|---|---|
| Übergeordnetes Werk: |
volume:6 ; year:2019 ; number:1 ; pages:36-41 |
| Links: |
Link aufrufen |
|---|
| DOI / URN: |
10.21276/obgyn.2019.6.1.9 |
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| Katalog-ID: |
DOAJ070635897 |
|---|
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| 245 | 1 | 0 | |a Expectant versus active management in term prelabor rupture of membranes (PROM) - a prospective study in a tertiary care hospital |
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| 520 | |a Objectives: This study was done with the main objectives of assessing the prevalence, identifying the associated factors and comparing feto-maternal outcomes in expectant versus active management in term PROM. Methods: This was a prospective cohort study where two convenience groups were categorized as expectant and active management with feto-maternal morbidities and mode of delivery as outcomes of interest. Further, the active group was categorized into two groups one of which received oxytocin and the other received a combination of prostaglandins and oxytocin. Here the main outcome of interest was the mode of delivery. The statistical software “R” was used to calculate the odds-ratios, 95% C.I. and p-values. Results: Prevalence of PROM was 16.7% and apart from multiparity (p=0.0467) none of the other factors were significantly associated with term PROM. Maternal infective morbidity was significantly more in the expectant management group (p=0.001) with no significant difference in the C-Section rates (p= 0.906) and neonatal morbidity (p=0.4). Active management with oxytocin and prostaglandins resulted in a significantly higher number of vaginal deliveries (p< 0.001) when compared to the only oxytocin group. Conclusion: Expectant management did not result in significantly higher operative deliveries or increased neonatal morbidity. Using prostaglandin with oxytocin gave a better result than oxytocin alone in terms of vaginal delivery. | ||
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10.21276/obgyn.2019.6.1.9 doi (DE-627)DOAJ070635897 (DE-599)DOAJ2d4473f6e5814b3b989940dd9d727be8 DE-627 ger DE-627 rakwb eng RG1-991 Arnab Berma verfasserin aut Expectant versus active management in term prelabor rupture of membranes (PROM) - a prospective study in a tertiary care hospital 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: This study was done with the main objectives of assessing the prevalence, identifying the associated factors and comparing feto-maternal outcomes in expectant versus active management in term PROM. Methods: This was a prospective cohort study where two convenience groups were categorized as expectant and active management with feto-maternal morbidities and mode of delivery as outcomes of interest. Further, the active group was categorized into two groups one of which received oxytocin and the other received a combination of prostaglandins and oxytocin. Here the main outcome of interest was the mode of delivery. The statistical software “R” was used to calculate the odds-ratios, 95% C.I. and p-values. Results: Prevalence of PROM was 16.7% and apart from multiparity (p=0.0467) none of the other factors were significantly associated with term PROM. Maternal infective morbidity was significantly more in the expectant management group (p=0.001) with no significant difference in the C-Section rates (p= 0.906) and neonatal morbidity (p=0.4). Active management with oxytocin and prostaglandins resulted in a significantly higher number of vaginal deliveries (p< 0.001) when compared to the only oxytocin group. Conclusion: Expectant management did not result in significantly higher operative deliveries or increased neonatal morbidity. Using prostaglandin with oxytocin gave a better result than oxytocin alone in terms of vaginal delivery. pre-labor rupture of membranes (prom) expectant active fetal maternal Gynecology and obstetrics Amita Ray verfasserin aut Nrityendra Narayan Bhattacharya verfasserin aut Koushik Basu verfasserin aut Bharath Kumar verfasserin aut Sougato Kumar Sarkar verfasserin aut In New Indian Journal of OBGYN Barpeta Obstetrics and Gynaecological Society, 2018 6(2019), 1, Seite 36-41 (DE-627)1760612855 24542342 nnns volume:6 year:2019 number:1 pages:36-41 https://doi.org/10.21276/obgyn.2019.6.1.9 kostenfrei https://doaj.org/article/2d4473f6e5814b3b989940dd9d727be8 kostenfrei https://journal.barpetaogs.co.in/pdf/0636.pdf kostenfrei https://doaj.org/toc/2454-2334 Journal toc kostenfrei https://doaj.org/toc/2454-2342 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA AR 6 2019 1 36-41 |
| spelling |
10.21276/obgyn.2019.6.1.9 doi (DE-627)DOAJ070635897 (DE-599)DOAJ2d4473f6e5814b3b989940dd9d727be8 DE-627 ger DE-627 rakwb eng RG1-991 Arnab Berma verfasserin aut Expectant versus active management in term prelabor rupture of membranes (PROM) - a prospective study in a tertiary care hospital 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: This study was done with the main objectives of assessing the prevalence, identifying the associated factors and comparing feto-maternal outcomes in expectant versus active management in term PROM. Methods: This was a prospective cohort study where two convenience groups were categorized as expectant and active management with feto-maternal morbidities and mode of delivery as outcomes of interest. Further, the active group was categorized into two groups one of which received oxytocin and the other received a combination of prostaglandins and oxytocin. Here the main outcome of interest was the mode of delivery. The statistical software “R” was used to calculate the odds-ratios, 95% C.I. and p-values. Results: Prevalence of PROM was 16.7% and apart from multiparity (p=0.0467) none of the other factors were significantly associated with term PROM. Maternal infective morbidity was significantly more in the expectant management group (p=0.001) with no significant difference in the C-Section rates (p= 0.906) and neonatal morbidity (p=0.4). Active management with oxytocin and prostaglandins resulted in a significantly higher number of vaginal deliveries (p< 0.001) when compared to the only oxytocin group. Conclusion: Expectant management did not result in significantly higher operative deliveries or increased neonatal morbidity. Using prostaglandin with oxytocin gave a better result than oxytocin alone in terms of vaginal delivery. pre-labor rupture of membranes (prom) expectant active fetal maternal Gynecology and obstetrics Amita Ray verfasserin aut Nrityendra Narayan Bhattacharya verfasserin aut Koushik Basu verfasserin aut Bharath Kumar verfasserin aut Sougato Kumar Sarkar verfasserin aut In New Indian Journal of OBGYN Barpeta Obstetrics and Gynaecological Society, 2018 6(2019), 1, Seite 36-41 (DE-627)1760612855 24542342 nnns volume:6 year:2019 number:1 pages:36-41 https://doi.org/10.21276/obgyn.2019.6.1.9 kostenfrei https://doaj.org/article/2d4473f6e5814b3b989940dd9d727be8 kostenfrei https://journal.barpetaogs.co.in/pdf/0636.pdf kostenfrei https://doaj.org/toc/2454-2334 Journal toc kostenfrei https://doaj.org/toc/2454-2342 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA AR 6 2019 1 36-41 |
| allfields_unstemmed |
10.21276/obgyn.2019.6.1.9 doi (DE-627)DOAJ070635897 (DE-599)DOAJ2d4473f6e5814b3b989940dd9d727be8 DE-627 ger DE-627 rakwb eng RG1-991 Arnab Berma verfasserin aut Expectant versus active management in term prelabor rupture of membranes (PROM) - a prospective study in a tertiary care hospital 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: This study was done with the main objectives of assessing the prevalence, identifying the associated factors and comparing feto-maternal outcomes in expectant versus active management in term PROM. Methods: This was a prospective cohort study where two convenience groups were categorized as expectant and active management with feto-maternal morbidities and mode of delivery as outcomes of interest. Further, the active group was categorized into two groups one of which received oxytocin and the other received a combination of prostaglandins and oxytocin. Here the main outcome of interest was the mode of delivery. The statistical software “R” was used to calculate the odds-ratios, 95% C.I. and p-values. Results: Prevalence of PROM was 16.7% and apart from multiparity (p=0.0467) none of the other factors were significantly associated with term PROM. Maternal infective morbidity was significantly more in the expectant management group (p=0.001) with no significant difference in the C-Section rates (p= 0.906) and neonatal morbidity (p=0.4). Active management with oxytocin and prostaglandins resulted in a significantly higher number of vaginal deliveries (p< 0.001) when compared to the only oxytocin group. Conclusion: Expectant management did not result in significantly higher operative deliveries or increased neonatal morbidity. Using prostaglandin with oxytocin gave a better result than oxytocin alone in terms of vaginal delivery. pre-labor rupture of membranes (prom) expectant active fetal maternal Gynecology and obstetrics Amita Ray verfasserin aut Nrityendra Narayan Bhattacharya verfasserin aut Koushik Basu verfasserin aut Bharath Kumar verfasserin aut Sougato Kumar Sarkar verfasserin aut In New Indian Journal of OBGYN Barpeta Obstetrics and Gynaecological Society, 2018 6(2019), 1, Seite 36-41 (DE-627)1760612855 24542342 nnns volume:6 year:2019 number:1 pages:36-41 https://doi.org/10.21276/obgyn.2019.6.1.9 kostenfrei https://doaj.org/article/2d4473f6e5814b3b989940dd9d727be8 kostenfrei https://journal.barpetaogs.co.in/pdf/0636.pdf kostenfrei https://doaj.org/toc/2454-2334 Journal toc kostenfrei https://doaj.org/toc/2454-2342 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA AR 6 2019 1 36-41 |
| allfieldsGer |
10.21276/obgyn.2019.6.1.9 doi (DE-627)DOAJ070635897 (DE-599)DOAJ2d4473f6e5814b3b989940dd9d727be8 DE-627 ger DE-627 rakwb eng RG1-991 Arnab Berma verfasserin aut Expectant versus active management in term prelabor rupture of membranes (PROM) - a prospective study in a tertiary care hospital 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: This study was done with the main objectives of assessing the prevalence, identifying the associated factors and comparing feto-maternal outcomes in expectant versus active management in term PROM. Methods: This was a prospective cohort study where two convenience groups were categorized as expectant and active management with feto-maternal morbidities and mode of delivery as outcomes of interest. Further, the active group was categorized into two groups one of which received oxytocin and the other received a combination of prostaglandins and oxytocin. Here the main outcome of interest was the mode of delivery. The statistical software “R” was used to calculate the odds-ratios, 95% C.I. and p-values. Results: Prevalence of PROM was 16.7% and apart from multiparity (p=0.0467) none of the other factors were significantly associated with term PROM. Maternal infective morbidity was significantly more in the expectant management group (p=0.001) with no significant difference in the C-Section rates (p= 0.906) and neonatal morbidity (p=0.4). Active management with oxytocin and prostaglandins resulted in a significantly higher number of vaginal deliveries (p< 0.001) when compared to the only oxytocin group. Conclusion: Expectant management did not result in significantly higher operative deliveries or increased neonatal morbidity. Using prostaglandin with oxytocin gave a better result than oxytocin alone in terms of vaginal delivery. pre-labor rupture of membranes (prom) expectant active fetal maternal Gynecology and obstetrics Amita Ray verfasserin aut Nrityendra Narayan Bhattacharya verfasserin aut Koushik Basu verfasserin aut Bharath Kumar verfasserin aut Sougato Kumar Sarkar verfasserin aut In New Indian Journal of OBGYN Barpeta Obstetrics and Gynaecological Society, 2018 6(2019), 1, Seite 36-41 (DE-627)1760612855 24542342 nnns volume:6 year:2019 number:1 pages:36-41 https://doi.org/10.21276/obgyn.2019.6.1.9 kostenfrei https://doaj.org/article/2d4473f6e5814b3b989940dd9d727be8 kostenfrei https://journal.barpetaogs.co.in/pdf/0636.pdf kostenfrei https://doaj.org/toc/2454-2334 Journal toc kostenfrei https://doaj.org/toc/2454-2342 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA AR 6 2019 1 36-41 |
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10.21276/obgyn.2019.6.1.9 doi (DE-627)DOAJ070635897 (DE-599)DOAJ2d4473f6e5814b3b989940dd9d727be8 DE-627 ger DE-627 rakwb eng RG1-991 Arnab Berma verfasserin aut Expectant versus active management in term prelabor rupture of membranes (PROM) - a prospective study in a tertiary care hospital 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: This study was done with the main objectives of assessing the prevalence, identifying the associated factors and comparing feto-maternal outcomes in expectant versus active management in term PROM. Methods: This was a prospective cohort study where two convenience groups were categorized as expectant and active management with feto-maternal morbidities and mode of delivery as outcomes of interest. Further, the active group was categorized into two groups one of which received oxytocin and the other received a combination of prostaglandins and oxytocin. Here the main outcome of interest was the mode of delivery. The statistical software “R” was used to calculate the odds-ratios, 95% C.I. and p-values. Results: Prevalence of PROM was 16.7% and apart from multiparity (p=0.0467) none of the other factors were significantly associated with term PROM. Maternal infective morbidity was significantly more in the expectant management group (p=0.001) with no significant difference in the C-Section rates (p= 0.906) and neonatal morbidity (p=0.4). Active management with oxytocin and prostaglandins resulted in a significantly higher number of vaginal deliveries (p< 0.001) when compared to the only oxytocin group. Conclusion: Expectant management did not result in significantly higher operative deliveries or increased neonatal morbidity. Using prostaglandin with oxytocin gave a better result than oxytocin alone in terms of vaginal delivery. pre-labor rupture of membranes (prom) expectant active fetal maternal Gynecology and obstetrics Amita Ray verfasserin aut Nrityendra Narayan Bhattacharya verfasserin aut Koushik Basu verfasserin aut Bharath Kumar verfasserin aut Sougato Kumar Sarkar verfasserin aut In New Indian Journal of OBGYN Barpeta Obstetrics and Gynaecological Society, 2018 6(2019), 1, Seite 36-41 (DE-627)1760612855 24542342 nnns volume:6 year:2019 number:1 pages:36-41 https://doi.org/10.21276/obgyn.2019.6.1.9 kostenfrei https://doaj.org/article/2d4473f6e5814b3b989940dd9d727be8 kostenfrei https://journal.barpetaogs.co.in/pdf/0636.pdf kostenfrei https://doaj.org/toc/2454-2334 Journal toc kostenfrei https://doaj.org/toc/2454-2342 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA AR 6 2019 1 36-41 |
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Methods: This was a prospective cohort study where two convenience groups were categorized as expectant and active management with feto-maternal morbidities and mode of delivery as outcomes of interest. Further, the active group was categorized into two groups one of which received oxytocin and the other received a combination of prostaglandins and oxytocin. Here the main outcome of interest was the mode of delivery. The statistical software “R” was used to calculate the odds-ratios, 95% C.I. and p-values. Results: Prevalence of PROM was 16.7% and apart from multiparity (p=0.0467) none of the other factors were significantly associated with term PROM. Maternal infective morbidity was significantly more in the expectant management group (p=0.001) with no significant difference in the C-Section rates (p= 0.906) and neonatal morbidity (p=0.4). Active management with oxytocin and prostaglandins resulted in a significantly higher number of vaginal deliveries (p< 0.001) when compared to the only oxytocin group. Conclusion: Expectant management did not result in significantly higher operative deliveries or increased neonatal morbidity. 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expectant versus active management in term prelabor rupture of membranes (prom) - a prospective study in a tertiary care hospital |
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Expectant versus active management in term prelabor rupture of membranes (PROM) - a prospective study in a tertiary care hospital |
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Objectives: This study was done with the main objectives of assessing the prevalence, identifying the associated factors and comparing feto-maternal outcomes in expectant versus active management in term PROM. Methods: This was a prospective cohort study where two convenience groups were categorized as expectant and active management with feto-maternal morbidities and mode of delivery as outcomes of interest. Further, the active group was categorized into two groups one of which received oxytocin and the other received a combination of prostaglandins and oxytocin. Here the main outcome of interest was the mode of delivery. The statistical software “R” was used to calculate the odds-ratios, 95% C.I. and p-values. Results: Prevalence of PROM was 16.7% and apart from multiparity (p=0.0467) none of the other factors were significantly associated with term PROM. Maternal infective morbidity was significantly more in the expectant management group (p=0.001) with no significant difference in the C-Section rates (p= 0.906) and neonatal morbidity (p=0.4). Active management with oxytocin and prostaglandins resulted in a significantly higher number of vaginal deliveries (p< 0.001) when compared to the only oxytocin group. Conclusion: Expectant management did not result in significantly higher operative deliveries or increased neonatal morbidity. Using prostaglandin with oxytocin gave a better result than oxytocin alone in terms of vaginal delivery. |
| abstractGer |
Objectives: This study was done with the main objectives of assessing the prevalence, identifying the associated factors and comparing feto-maternal outcomes in expectant versus active management in term PROM. Methods: This was a prospective cohort study where two convenience groups were categorized as expectant and active management with feto-maternal morbidities and mode of delivery as outcomes of interest. Further, the active group was categorized into two groups one of which received oxytocin and the other received a combination of prostaglandins and oxytocin. Here the main outcome of interest was the mode of delivery. The statistical software “R” was used to calculate the odds-ratios, 95% C.I. and p-values. Results: Prevalence of PROM was 16.7% and apart from multiparity (p=0.0467) none of the other factors were significantly associated with term PROM. Maternal infective morbidity was significantly more in the expectant management group (p=0.001) with no significant difference in the C-Section rates (p= 0.906) and neonatal morbidity (p=0.4). Active management with oxytocin and prostaglandins resulted in a significantly higher number of vaginal deliveries (p< 0.001) when compared to the only oxytocin group. Conclusion: Expectant management did not result in significantly higher operative deliveries or increased neonatal morbidity. Using prostaglandin with oxytocin gave a better result than oxytocin alone in terms of vaginal delivery. |
| abstract_unstemmed |
Objectives: This study was done with the main objectives of assessing the prevalence, identifying the associated factors and comparing feto-maternal outcomes in expectant versus active management in term PROM. Methods: This was a prospective cohort study where two convenience groups were categorized as expectant and active management with feto-maternal morbidities and mode of delivery as outcomes of interest. Further, the active group was categorized into two groups one of which received oxytocin and the other received a combination of prostaglandins and oxytocin. Here the main outcome of interest was the mode of delivery. The statistical software “R” was used to calculate the odds-ratios, 95% C.I. and p-values. Results: Prevalence of PROM was 16.7% and apart from multiparity (p=0.0467) none of the other factors were significantly associated with term PROM. Maternal infective morbidity was significantly more in the expectant management group (p=0.001) with no significant difference in the C-Section rates (p= 0.906) and neonatal morbidity (p=0.4). Active management with oxytocin and prostaglandins resulted in a significantly higher number of vaginal deliveries (p< 0.001) when compared to the only oxytocin group. Conclusion: Expectant management did not result in significantly higher operative deliveries or increased neonatal morbidity. Using prostaglandin with oxytocin gave a better result than oxytocin alone in terms of vaginal delivery. |
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