Online ISSN: 2515-8260

Keywords : Active Management

Fetomaternal Outcome in Expectant versus Active Management in Preterm Prelabor Rupture of Membranes Close to Term Pregnancy

Vidhi Singh, Kanchan Rani, Manpreet Kaur Tehalia, Poonam Singh, Gayatri Singh

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 4, Pages 404-410

PPROM is defined as preterm prelabor rupture of membranes which complicates the pregnancy and is associated with around 40% of all preterm births. It is associated with other maternal and neonatal complications like ascending infections leading to chorioamnionitis and other complications. Principal of management of a case of PPROM is still not clear that weather an active intervention should be done or it should be managed conservatively.
Materials and Methods: This retrospective study was done in Obstetrics and Gynecology department at TMMC and RC, Moradabad. Data of last five years, from (2018-2022) was collected and analysed.
Results: A total of 647 patients were admitted in last 5 years with PPROM out of which 375 patients were excluded as per our exclusion criteria, from remaining 272 patients 143 were managed conservatively and 129 were in active management group. There were more cases of clinical chorioamnionitis and neonatal infection in expectant group while the cases of respiratory distress syndrome and oxygen requirement at 24 hours were more in active management group. There were statistically significant difference in the duration of admission to delivery interval and need for neonatal antibiotic treatment in both groups and was more in expectant management group.

Conclusion: Active management of PPROM at 34 weeks had higher cases of neonatal morbidity while expectant management group had higher rate of chorioamnionitis, so in our opinion the active management should be delayed till 35 weeks of gestation

To detect abnormal labour at an early stage in primigravida by partogram

Dr Senadhipati Shakunthala, Dr Padma Pilli, Dr.Y.Radhika Ganesh,Dr.MobineAhamad S, Dr KotiMythri

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 5923-5932

Aims: To detect abnormal labour at an early stage in Primi gravida and toassess the
management options for different types of abnormal labours detected bypartogram.
Materials and methods: It is a prospective study in which 100 antenatal patients were
admitted to the department of Obstetrics and Gynecology. For all patients in the 100
Primigravida, Singleton pregnancy, term gestation in labor, and Cephalic presentation
with vertex as the presenting part, a modified WHO partogram was adopted.The
patients are divided into three groups, and the partogram is divided into three zones
throughout the research. Group A: Patients who deliver before the alert line is reached
are in the safe zone. Patients who deliver after the alert line but before the action lines
are placed in Group B. Patients who give birth after the action line is crossed are in
Group C.