{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:24:44Z","timestamp":1760189084402},"reference-count":14,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2011,1,11]],"date-time":"2011-01-11T00:00:00Z","timestamp":1294704000000},"content-version":"vor","delay-in-days":9141,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[1986,1]]},"abstract":"<jats:p>The obstetric outcome in women with premature rupture of the membranes (PROM) at term (&gt; 36 weeks gestation) without spontaneous onset of labor (within 2 h after admission) was evaluated prospectively in a joint study at the University Hospital of Lund, Sweden and Kandang Kerbau Hospital, National University of Singapore. After 2 h of observation without uterine contractions, labor was stimulated with oxytocin infusion. 303 patients participated and were classified according to parity (nulliparae\u2013multiparae) and cervical dilatation at admission (&lt;2 cm dilated; 2 cm dilated). No significant race\u2010related differences could be found, except for birthweight. Nulliparae with unfavorable cervix at admission had a high rate of ominous fetal heart rate findings in labor and a high cesarean section rate (19.4%), particularly for failed stimulation of labor. the high cesarean section rate after routine stimulation of labor in nulliparae with unfavorable cervix suggests that a non\u2010intervention approach may be justified in this group. in contrast, the cesarean section rate after stimulation of labor was 3.6% in nulliparae with the cervix dilated 2 cm or more at admission and 4.2% in multiparae and ominous fetal heart rate changes were much less common.<\/jats:p>","DOI":"10.3109\/00016348609158393","type":"journal-article","created":{"date-parts":[[2009,12,8]],"date-time":"2009-12-08T17:55:53Z","timestamp":1260294953000},"page":"587-591","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Premature Rupture of the Membranes at Term: Obstetric Outcome with Oxytocin Stimulation in Relation to Parity and Cervical Dilatation at Admission"],"prefix":"10.1111","volume":"65","author":[{"given":"H.","family":"Rydstr\u00f6m","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Arulkumaran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.","family":"Ingemarsson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. 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