IOL for PROM - Whats the protocol in your hospital?

depends on cervical state, if favourable then just synto

otherwise prostin (may have more than one though), I have known a 'iol for prom' have 3 lots of prostin, then start synto (with an os noone could reach), 4 hours post synto she was 1-2cm with bulging membranes and I did an ARM,

Give between 24 and 36hours

Coming in for induction for ruptured membranes doesn't mean that a) the membranes have ruptured at all or b) that the forewaters are not intact

We call them in 18 hours post confirmation of SROM.

If cx favourable and no forewaters felt, then straight onto synto.
If cx favourable and forewaters felt, ARM and synto 2 hours later if not contracting.
If cx non-favourable, propess for 24 hours (maximum of 30 hours at consultant's discretion), then ARM and synto (synto to be commenced within half an hour of removal of propess.)

Prophylactic IV antibiotics (usually Benzyl Penicillin or Augmentin/Co-Amoxiclav) once in established labour. Stat dose initially, then smaller dose every 4 hours as prescribed by Reg/consultant.

We're as above, but we book them for IOL 24 hours post SROM (no later as we're also busy and it might be another 24 hours before she can be augmented) use prostin instead of propess and we don't give IV antibiotics unless the woman is symptomatic of infection or is GBS+.

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Isn't it funny how protocols differ.

We also have the baby on 12 hours of obs if the woman hasn't had 2 doses of IV ABX in labour, or if the stat dose was administered less than 4 hours before delivery (dependent on the paed in charge at the time of birth).