<![CDATA[Background: Prelabour rupture of membrane at term accounts for 2-10% incidence. It is associated withsignificant maternal and fetal complications if not timely managed. Early complications include cordprolapse, cord compression and placental abruption and delayed complications include chorioamnionitis,maternal and fetal sepsis. The present study was undertaken to study the labour outcome following activemanagement of term prelabour rupture of membrane and associated maternal and fetal outcome.Method: Cases of spontaneous rupture of membranes with singleton pregnancy with gestational age >37weeks with confirmed PROM by a speculum examination were selected. A detailed history was taken andgestational age confirmed, general, systemic and obstetric examinations were done. Non stress tests andblood investigations were sent to rule out sepsis. All patients received prophylactic antibiotics. After takingconsent, induction of labour was done with oral misoprostol and maternal vitals were recorded four hourlyand fetal heart rate was recorded for variability. Induction to delivery interval was recorded and maternal andfetal outcome following PROM was noted.Results: PROM was more common in primigravida. Majority of women were admitted within 12 hoursof PROM (87.83%). Recurrent episodes of urinary tract infection was found a significant cause for PROM(33.78%). Patient delivered vaginally with 55.40%. Post delivery complications included post partum sepsisin 12.16%. No maternal mortality was noted. Neonatal sepsis was seen in 6 babies (8.10%).Conclusion: PROM is associated with many maternal and fetal complications which can be reduced byeducating the women to have regular antenatal check up and early recognition of urinary and genital tractinfection, and treat appropriately and to report at the earliest in case of rupture of membrane for timelymanagement to reduce maternal and fetal morbidities and mortalities.]]>
