The influence of spontaneous and induced labor in maternal and fetal outcomes in preterm prematüre rupture of membranes

Aim: We evaluated the effect of spontaneous and induced parturition in maternal and fetal outcomes in preterm prematüre rupture of membranes (PPROM) and analyzed the influence of the latent period in these results. Materials-method: We analyzed the results of patients who were complicated with PPROM in 24-34 weeks of gestation between January 2014-January 2016 in our clinic. Results: We collected 93 cases and in 43 patients (46%) the labor occurs spontaneously (Group 1) and in 50 cases (54%) we induced the labor due to maternal and fetal indications (Group 2). The interval between when PPROM occurred, and labor was 5.8±2.1 days in group 1 and 8.3±3.5 days in group 2 (p:0,19). There was no significant difference between birthweights in two groups. C-section was performed in 19 (%44.1) patients in group 1 and 37 (%74) cases were delivered by C-section in group 2 (p: 0.03). Neonatal mortality was 9.3% in group 1 and 6% in group 2 (p:0.54). Severe morbidity was detected in 14 (%32.5) patients in group 1 and 17 (%34)in group 2. We did not show a significant effect of latency period into the severe morbidity and mortality in newborns (p:0.54, p:0.67). Conclusion: There was no relevant effect of latency period into the neonatal outcomes, and expectant management should be used in PPROM cases if the maternal and fetal status is reassuring