Frequency of Spontaneous Onset of Labour in Patient with PROM For 24 Hours at LRH, Peshawar

Background: Adequate amniotic fluid volume is vital for fetal well-being, and its reduction may indicate premature rupture of membranes (PROM), which can affect pregnancy outcomes. PROM occurs when the amniotic membranes rupture before labor begins. This study aims to determine the frequency of spontaneous labor onset in patients with PROM lasting 24 hours. Methods: This descriptive case series was conducted in the Department of Obstetrics and Gynaecology, Lady Reading Hospital, Peshawar, from 1st May to 1st November 2021, to determine the frequency of spontaneous labor within 24 hours in women with PROM. A total of 148 women aged 18–40 years, with singleton pregnancies at 37–40 weeks, were enrolled through non-probability consecutive sampling. Women with chorioamnionitis, diabetes, previous cesarean section, cephalopelvic disproportion, malpresentation, or intrauterine fetal death were excluded. Demographic data (age, gestational age, parity, weight) were collected, and patients were monitored for 24 hours for spontaneous labor; induction or cesarean section was performed if indicated. Data were analyzed using SPSS 23 with descriptive statistics and Chi-square tests (p ≤ 0.05). Ethical approval and informed consent were obtained. Results: Participants' ages ranged from 18 to 40 years (mean: 28.59±2.58). The mean gestational age was 38.26±0.93 weeks, with a mean parity of 1.53±1.45, and a mean weight of 69.62±4.38 Kg. Spontaneous labor onset occurred in 64.2% of the patients within 24 hours. Conclusion: A 24-hour observation period for spontaneous labor onset in PROM cases can be safely conducted before inducing labor at term, allowing for natural progression