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Term prelabour rupture of membranes — DRCOG MCQ

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HardIntrapartum CareTerm prelabour rupture of membranesDRCOG

A 24-year-old woman at 38+4 weeks reports rupture of membranes 20 hours ago. She is not contracting, has no fever and fetal movements are normal. She plans birth in hospital. What is the most appropriate management?

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Correct answer: D — Offer induction of labour around 24 hours after membrane rupture

At term, induction is generally offered about 24 hours after prelabour rupture of membranes to reduce infection risk. Antibiotics are not routinely needed in the absence of infection or group B streptococcus indications. Digital vaginal examination should be avoided unless labour is established. The pearl is that the management balances spontaneous labour against rising infection risk.

Reference: NICE NG235