Premature Rupture of Membranes (PROM) is defined as the rupture of membranes before the onset
of regular uterine contractions.
PROM occurs in approximately 10% of all pregnancies (ranging from 2.7% to 17%), with 60% to
80% of cases occurring at term. Approximately 90% of patients' experience PROM enter
spontaneous labor within 24 hours, but disagreement exists among health care providers on the
optimal management of women with PROM, particularly the need for and timing of inductions.
Nipple stimulation is a non-medical natural method for induction of labor. Previous studies
demonstrated its effectiveness for initiating labor within 72 hours in women with favorable
cervices. The actual mechanism by which such a technique results in cervical ripening is not
In this study, we aim to assess the effectiveness of nipple stimulation in gravid women with
term PROM choosing expectant management.