Preterm and term prelabour rupture of membranes: A review of timing and methods of labour induction

Best Pract Res Clin Obstet Gynaecol. 2021 Nov:77:27-41. doi: 10.1016/j.bpobgyn.2021.08.009. Epub 2021 Sep 3.

Abstract

Prelabour rupture of membranes (PROM) exposes both foetuses and mothers to the risk of infection. Induction of labour has been proposed to reduce this risk, but its neonatal and maternal risks and benefits must be balanced against those of expectant management (EM). Recent randomized studies of preterm PROM show that EM until 37 weeks of gestation is associated with lower overall neonatal morbidity. In term PROM, active management is associated with a shorter birth interval but not with lower rates of neonatal infection. Similar maternal and neonatal outcomes are reported regardless of whether induction uses oxytocin, PGE2, or oral misoprostol.

Keywords: Caesarean birth; Induced; Prelabour rupture of membranes; Premature rupture; Preterm; Term.

Publication types

  • Review

MeSH terms

  • Female
  • Fetal Membranes, Premature Rupture* / therapy
  • Humans
  • Infant, Newborn
  • Labor, Induced
  • Misoprostol*
  • Oxytocin
  • Pregnancy

Substances

  • Misoprostol
  • Oxytocin