Table 1. Clinical Characteristics of Patients.

From: Obstetric and Neonatal Outcomes of Using Mechanical Methods in Cases of Pregnancy Requiring Cervical Ripening Following Premature Rupture of the Membranes at Term

Total number 85
Maternal age (y) 33.7 ± 7
Nulliparity 74 (87)
Gestational age at PROM (w) 39.4 ± 2
Body mass index at the start of induction 24.9 ± 3.3
Bishop score at the start of induction 1.3 ± 1
Neonatal birth weight (g) 3170 ± 340
Table 2. Obstetric Outcomes.

From: Obstetric and Neonatal Outcomes of Using Mechanical Methods in Cases of Pregnancy Requiring Cervical Ripening Following Premature Rupture of the Membranes at Term

Total number 85
Findings and procedures on the second day of intervention
 After delivery 2 (2)
 Prostaglandin preparations 45 (53)
 Repeat mechanical methods 12 (14)
 Oxytocin use 26 (31)
Total oxytocin use 59 (69)
Number of days from the start of induction to delivery (d) 2.1 ± 2
Total cesarean delivery 22 (26)
Indication for cesarean delivery (n = 22)
 Intrauterine infection 5 (23)
 Non-reassuring fetal status 9 (41)
 Arrest of labor 8 (36)
Apgar score at 1 minute 8.3 ± 1
Neonatal asphyxia (Apgar score at 1 minute <7) 0 (0)
Neonatal asphyxia (Apgar score at 5 minutes <7) 0 (0)
Umbilical artery pH 7.247 ± 0.10
Umbilical artery pH <7.1 1 (1)
Clinical intrauterine infection 6 (7)
Neonatal intrauterine infection 0 (0)
Maternal fever after the third postoperative day 1 (1)
Table 3. Comparison of the Overview of the Cases of PROM with Mechanical Cervical Dilation and Those with the Pharmacological Ripening Methods.

From: Obstetric and Neonatal Outcomes of Using Mechanical Methods in Cases of Pregnancy Requiring Cervical Ripening Following Premature Rupture of the Membranes at Term

Cervical ripening method Mechanical methods Pharmacological methods P-value*
Number 85 48
Maternal age (y) 33.7 ± 7 32.0 ± 6 0.01
Nulliparity 74 (87) 34 (71) 0.02
Gestational age at PROM (w) 39.4 ± 2 39.0 ± 2 0.11
Neonatal birth weight (g) 3170 ± 340 3130 ± 330 0.01
Oxytocin use 59 (69) 21 (44) <0.01
Number of days from the start of induction to delivery (d) 2.1 ± 2 1.8 ± 1 0.18
Total cesarean delivery 22 (26) 15 (31) 0.51
Indication for cesarean delivery (n = 26 and 15)
 Intrauterine infection 5 (23) 1 (7) 0.19
 Non-reassuring fetal status 9 (41) 8 (53) 0.46
 Arrest of labor 8 (36) 6 (40) 0.82
Apgar score at 1 minute 8.3 ± 1 8.7 ± 1 0.09
Neonatal asphyxia (Apgar score at 1 minute <7) 0 (0) 0 (0) 1
Neonatal asphyxia (Apgar score at 5 minutes <7) 0 (0) 0 (0) 1
Umbilical artery pH 7.247 ± 0.10 7.285 ± 0.11 0.52
Umbilical artery pH <7.1 1 (1) 0 (0) 0.45
Clinical intrauterine infection 6 (7) 2 (4) 0.53
Neonatal intrauterine infection 0 (0) 0 (0) 1
Maternal fever after the third postoperative day 1 (1) 0 (0) 0.45
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