How soon after term premature rupture of membranes (PROM) should oxytocin be started?

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Evidence-Based Answer

In patients presenting at term with PROM who are not in labor, immediate induction with oxytocin is associated with a lower incidence of endometritis and chorioamnionitis, fewer admissions to the neonatal intensive care unit (NICU), and no increase in the rate of cesarean or operative vaginal births when compared with expectant management (SOR: A, meta-analysis).

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