Management of pre-labour rupture of membranes at term - A survey of current practice in Australia

Weekes, Christopher R. and Mahomed, Kassam H. (2010) Management of pre-labour rupture of membranes at term - A survey of current practice in Australia. Australian & New Zealand Journal of Obstetrics & Gynaecology, 50 5: 428-431. doi:10.1111/j.1479-828X.2010.01206.x

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Author Weekes, Christopher R.
Mahomed, Kassam H.
Title Management of pre-labour rupture of membranes at term - A survey of current practice in Australia
Journal name Australian & New Zealand Journal of Obstetrics & Gynaecology   Check publisher's open access policy
ISSN 0004-8666
Publication date 2010-10
Sub-type Article (original research)
DOI 10.1111/j.1479-828X.2010.01206.x
Volume 50
Issue 5
Start page 428
End page 431
Total pages 4
Place of publication Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 2011
Language eng
Formatted abstract
Background: Women with pre-labour rupture of membranes at term (Term-PROM) commonly choose to have early induction of labour with the use of oxytocin. Although there is evidence of efficacy and safety of induction by the use of
prostaglandin, it is used infrequently in Australia.
Aims: To identify current practice and views of obstetricians in Australia, on Term-PROM
Methods: A postal survey among all obstetricians in Australia in April 2009. Fellows no longer practising obstetrics or who were non-practising were asked to return the survey without completing it.
Results: Of the 1319 surveys posted, 720 (54.6%) were returned, 23.8% of whom were practising only gynaecology or non-practising, leaving 548 respondents practising obstetrics (41.5%). The most common management of Term-PROM is induction of labour (IOL) within 24 h at the next convenient opportunity (75%). More than 96% would use
intravenous oxytocin at some stage as their method of induction. Prostaglandin gel (PGE2) was utilised by 15% of respondents regularly, mainly for ripening of an unfavourable cervix in a primigravida, but nearly 40% would consider the use of PGE2 indicating that it would produce a more ‘natural’ labour, that women could ambulate more and that there would be reduced impact on midwifery staff. For those who would not consider PGE2, the most common reasons were concerns of hyperstimulation, increased infection rate and precautions of use based on product information.
Conclusions: Oxytocin is the most widely used induction agent for women with term-PROM. PGE2 is an important alternative method of induction and nearly 40% would consider using it. Clarification from RANZCOG and further studies on whether PGE2 offers a safe and effective option are now required.
Keyword Induction of labour
Prostaglandin gel
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article first published online: 5 AUG 2010

Document type: Journal Article
Sub-type: Article (original research)
Collections: Mater-University of Queensland Study of Pregnancy
Official 2011 Collection
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Created: Wed, 16 Mar 2011, 14:13:49 EST by Sharleen Young on behalf of Ipswich Clinical School