Abstract
The authors report a retrospective study of 939 cases of premature rupture of the membranes (PRM) at term; in a gynecology-obstetric Clinical University maternity hospital Souissi-Rabat. The objective is to value our attutide in the clinical Universtity : Waiting during 48 hours after the PRM before induction of labor. Most of patients (81,60%) had a spontaneous labor in less than 48 hours after PRM. Cesarean operation was carried out in 3,6% cases principally for fetal distress. Chorioamniotis is the most frequentt complication in 17,14% and the post partum fever in 1,58%. 90,30% infants were born with Apgar score more than 7/10 in the first minute of birth, 4,89% had a neonatal infection; 1,38% had a respiratory distress and 1,17% had meconial inhalation. The frequency of perinatal mortality is 1,9%. This study and the review of the literature make us induction of labor immediately after rupture of the membranes at term; if the cervical condition is favorable. If not, we prefer waiting 24 hours after PRM. It is prudent to withhold digital examination and antibiotics must be used.
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