George J. Gilson is a consulting obstetrician to the Brownsville Community Health Centers Maternity Center. He received his M.D. at Northwestern University Medical School, Chicago, Illinois. He underwent residency training both in Family Medicine and in Obstetrics and Gynecology at the University of New Mexico Hospital, Albuquerque, New Mexico. He is board certified by the American Board of Obstetrics and Gynecology and the American Board of Family Practice.
EXPECTANT MANAGEMENT OF PREMATURE RUPTURE OF MEMBRANES AT TERM IN A BIRTHING CENTER SETTING
Article first published online: 6 JAN 2011
1988 American College of Nurse Midwives
Journal of Nurse-Midwifery
Volume 33, Issue 3, pages 134–140, May-June 1988
How to Cite
Gilson, G. J., O'Brien, M. E., Vera, R. W., Block, A. and Grubb, P. N. (1988), EXPECTANT MANAGEMENT OF PREMATURE RUPTURE OF MEMBRANES AT TERM IN A BIRTHING CENTER SETTING. Journal of Nurse-Midwifery, 33: 134–140. doi: 10.1016/0091-2182(88)90109-7
- Issue published online: 6 JAN 2011
- Article first published online: 6 JAN 2011
Fifty-nine birthing center clients at term with premature rupture of membranes (PROM) for more than 24 hours were managed on an expectant protocol to see if hospitalization could be avoided without increasing the risk of maternal or neonatal infection. Clients were carefully chosen and were closely followed on a daily basis as out-patients to assure continued maternal and fetal well-being. Digital exams were prohibited. Fifty-four percent delivered without problem in the birthing center and 80% of the total group delivered vaginally. There were five cases of suspected chorioamnionitis and four cases of postpartum endometritis. There were no cases of culture documented neonatal sepsis. A nonaggressive approach to term PROM appears to involve a minimal risk of infection to mother and/or fetus, with the added advantage of offering an acceptably low rate of costly hospitalization and abdominal delivery.