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Term prelabour rupture of membranes — DRCOG MCQ

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HardLabourTerm prelabour rupture of membranesDRCOG

At 39+2 weeks, a woman has had clear prelabour rupture of membranes for 12 hours. She has no fever, contractions or known GBS colonisation, and fetal movements are normal. What should be offered?

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Correct answer: CChoose induction now or expectant care for 24 hours

The best answer is “Choose induction now or expectant care for 24 hours”. At term without GBS or signs of infection, NICE offers a choice of induction as soon as possible or expectant management for up to 24 hours, with induction offered if labour has not begun. Digital vaginal examination is avoided without contractions, and infection symptoms require prompt reassessment.

Reference: NICE NG235: Intrapartum care: https://www.nice.org.uk/guidance/ng235/chapter/recommendations