EVIDENCE-BASED MEDICINE
Review: planned early birth after prelabour rupture of membranes at term has benefits for mother and infant
Dare MR, Middleton P, Crowther CA, et al. Planned early birth versus expectant management (waiting) for prelabour rupture of membranes at term (37 weeks or more). Cochrane Database Syst Rev 2006;(1):CD005302.
Q In pregnant women with prelabour rupture of membranes (PROM) at term, is planned early birth better for the mother and infant than expectant management?
Clinical impact ratings Obstetrics






Paediatrics 





Infectious disease 





Keywords: fetal membranes (premature rupture); labour (induced); term birth
| The first 150 words of the full text of this article appear below. |


24 h) in pregnant women with PROM at
37 weeks gestation. 12 RCTs (n = 6846 women) reporting 13 comparisons met the selection criteria. The active management intervention used was induction of labour with oxytocin in 7 RCTs, prostaglandin in 5 RCTs, and caulophyllum in 1 RCT. 2 reviewers independently assessed methodological quality based on allocation concealment, blinding, and completeness of follow up.

The time from PROM to birth was shortened by a mean 9.5
University of Montreal Montreal, Quebec, Canada
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