Management of term patients

1. At 36 weeks and beyond, management of PROM consists of delivery. Patients in active labor should be allowed to progress.

2. Patients with chorioamnionitis, who are not in labor, should be immediately induced with oxytocin (Pitocin).

3. Patients who are not yet in active labor (in the absence of fetal distress, meconium, or clinical infection) may be discharged for 48 hours, and labor usually follows. If labor has not begun within a reasonable time after rupture of membranes, induction with oxytocin (Pitocin) is appropriate. Use of prostaglandin E2 is safe for cervical ripening.

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