Active versus Conservative Management of Pre labor Rupture of Membranes at Term Pregnancies and Nursing Implications | ||
| Zagazig Nursing Journal | ||
| Article 8, Volume 9, Issue 2 - Serial Number 2013, 2013, Pages 116-129 PDF (197.3 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/znj.2013.38852 | ||
| Authors | ||
| Hanan Fawzy El – Sayed1; Sanaa Ali Nour Eldin2; Sahar Abd El-Rady El kheshen3; Mohammed Sabry Mahdy4 | ||
| 1Assistant Lecturer of Maternal and Newborn Health Nursing- Faculty of Nursing- Helwan University,( | ||
| 2Professor of Obstetrics and Gynecological Nursing- Faculty of Nursing- Zagazig University | ||
| 3Lecturer of Maternity and Gynecological Nursing- Faculty of Applied Medical Sciences- MUST University | ||
| 4Professor of Obstetrics and Gynecology- Faculty of Medicine- Zagazig University | ||
| Abstract | ||
| Background: Pre- labor rupture of membranes is a spontaneous rupture of the membranes at/or after 37 weeks gestation and before the onset of labor. The aims of the present study were, to compare the clinical effectiveness and safety of active management versus conservative management in women with pre-labor rupture of membranes. Also to compare the maternal and neonatal out comes of active management versus conservative management in women with pre-labor rupture of membranes. A Quasi experimental design was selected in carrying out this study. The setting of the study was the labor word, at Zagazig University Hospital. A representative sample of 160 parturient women who had premature rupture of membranes and undergoing management according to the inclusion criteria were recruited for this study. They were categorized into: Study group (n=80) who received oral misoprostol 50-200ug and Conservative group (n=80) who were observed for 24 hours and received the normal management technique. The tools used for data collection were; an interview questionnaire, Clinical assessment form, Ultrasonography, Cardio-Tocography, Medication sheet, Partograph, and Summary of labor sheet. The results of the present study revealed that women in the study group had shorter total duration of labor than the conservative group (7.2±1.4hrs VS 10.1±2.5hrs respectively) and lower rate of cesarean section (6.2% &18.7% respectively). Only one fetal death in the study group was reported compared to 3 in the conservative group. It can be concluded that, active nursing management by using oral misoprostol resulting in reduction in the mean duration of labour, lower percentage cesarean section rate and better infant outcomes. The study recommended the active nursing management using of misoprostol for faster and safer labor. | ||
| Keywords | ||
| misoprostol; conservative management | ||
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