[Premature rupture membrane at term with unfavourable cervix].
BACKGROUND
Between expectant attitude in hospital and labour induction, management of and premature rupture membrane at term stay controversial.


OBJECTIVE
The aim of our study was to evaluate the management rupture of the membranes at term with unfavourable cervix.


METHODS
We conducted a retrospective study. An expectant delay of 24 hours had been followed by induction labour in women with favourable Bishop. Maturation by prostaglandins E2 (PGE2) was performed in case of unfavourable cervix. We administrate one dose each 24 hours (3 doses maxima). Over, labour induction by ocytocine was started. The prescription of antibioprophylaxis is systematic until delivery.


RESULTS
We included 137 patients. 51% of patients had a spontaneous labour during the expectant delay. There was no significant difference in neonatal and maternal morbidity in case of expectant management of premature rupture membrane at term.


CONCLUSIONS
Based on our findings and a review of the literature, an expectative of 24 hours is interesting in case if unfavourable conditions. Prostaglandin E2 maturations can be performed in unfavourable cervixes.
El Fekih
Chiraz
C
Service de gynéologie obstétrique, hôpital Mahmoud El Martri Ariana.
Ouerdiane
Nadia
N
Mrezguia
Chaouki
C
Mourali
Mechaal
M
Douagi
Mohamed
M
Abdennebi
Monia
M
Ben Zineb
Nabil
N
D000293:Adolescent; D000328:Adult; D020070:Cervical Ripening; D002584:Cervix Uteri / Q000502:physiology; D002585:Cesarean Section; D005260:Female; D005322:Premature Rupture of Fetal Membranes / Q000175:diagnosis; D006801:Humans; D007231:Infant, Newborn; D007751:Labor, Induced; D007743:Labor, Obstetric; D010298:Parity; D011247:Pregnancy; D011379:Prognosis; D011453:Prostaglandins / Q000008:administration & dosage; D016032:Randomized Controlled Trials as Topic; D013997:Time Factors
D011453:Prostaglandins