MANEJO DE RUPTURA PREMATURA DE MEMBRANAS, EN EMBARAZO A TERMINO CON CERVIX DESFAVORABLE.

Se realiz\uf3 un estudio prospectivo y aleatorio de 30 pacientes con embarazo a t\ue9rmino, ruptura prematura de membranas (R.P.M.) y cuello no favorable para inducci\uf3n de trabajo de parto (Test de Bishop 5) a objeto de comparar el manejo expectante con la conducta activa. Aquellas pacientes con alguna condici\uf3n m\ue9dica u obst\ue9trica que justificara una intervenci\uf3n inmediata fueron excluidas del estudio. Las gestantes tratadas conservadoramente fueron hospitalizadas con reposo en cama y vigiladas ante la aparici\uf3n de infecci\uf3n o trabajo de parto. A las pacientes mane\uadjadas con inducci\uf3n se les administr\uf3 oxitocina luego de su admisi\uf3n si el tiempo de ruptura de membranas era menor de 12 horas. Como se esperaba el promedio de latencia en el grupo de observaci\uf3n fue mayor (p SUMMARY A randomized and prospective study was performed in 30 patients with premature rupture of the membranes (PROM) in term pregnancy and an inmature cervix (Bishop Test 5) in order to compare the expectant managent with the inmediate induction of labor. Patients that han some medical or obtetrics condition that merited intervention were excluded from the study. The preg\uadnant women from the consevative management were hospitalized with rest in bed to expect if labor or infection occur. The patinets from the intervention group were induced with oxiytocin after their admission if the premature rupture of membranes was less than 12 hours. The average of latency was greater in the group of expectant management, (p < 0.01), tham in the induction group and the labor of the whole group had a lesser duration (NS). The intervention grout patients hada loger duration of the labor (NS), a higher incidence of cesarean section (P < 0.05) and infections (P < 0.05). There no neonatal complications and no significative differencies in days of hospitalization in both groups