Term prelabor rupture of membranes: immediate induction is the optimal management.
Publication/Presentation Date
10-1-2023
Abstract
Term prelabor rupture of membranes, defined as rupture of membranes before the onset of labor at ≥37 weeks of gestation, is a common obstetrical event occurring in 8% of pregnancies. However, most relevant guidelines are inconclusive regarding the management of this condition and the optimal timing of induction of labor. Here, we present evidence from randomized controlled trials and a recent meta-analysis indicating that an immediate induction of labor in term premature rupture of membranes is associated with several maternal and neonatal benefits compared with expectant management, without increasing the risk of cesarean delivery. Given these findings, we strongly believe that immediate induction of labor is the optimal management strategy in case of term prelabor rupture of membranes.
Volume
5
Issue
10
First Page
101094
Last Page
101094
ISSN
2589-9333
Published In/Presented At
Bellussi, F., Melamed, N., Barrett, J., & Berghella, V. (2023). Term prelabor rupture of membranes: immediate induction is the optimal management. American journal of obstetrics & gynecology MFM, 5(10), 101094. https://doi.org/10.1016/j.ajogmf.2023.101094
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
37454735
Department(s)
Administration and Leadership
Document Type
Article