A Clinical Study on Fetomaternal Outcome in Preterm Prelabour Rupture of Membranes
Abstract: Introduction: Premature rupture of membranes before 37 weeks of gestation is known as preterm premature rupture of membranes (PPROM). PPROM complicates 2% of pregnancies and accounts for 30% of preterm delivery. It is an important cause of perinatal morbidity and mortality. Objectives of the study were to determine incidence, risk factors, maternal and fetal outcome in PPROM cases attending tertiary care hospital in Jhalawar. Methodology: It is a hospital based prospective observational study conducted in the department of obstetrics and gynaecology at Jhalawar Medical College over a period of six months from February 2020 to July 2020. 125 PPROM patients from 24-36+6 weeks of gestation were included in the study and close monitoring of maternal and fetus status was done and followed during the delivery and postnatally. Results: The incidence of PPROM was 3.99%. PPROM was mainly presented in 20-30yrs age group (89.6%), unbooked cases (84.4%) and lower socioeconomic class (64.8%). Mean gestational age was 34.1 weeks. The risk factors like history of abortion (23.2%), history of previous preterm or PPROM (16.7%) in multigravida females, multiple pregnancy (8.8%), polyhydramnios (3.2%), anaemia (93.6%), genital infections (9.6%), UTI (14.4%) and fetal malpresentations (11.2%) were present. 78.4% cases had vaginal delivery and 21.6% underwent LSCS. 16 cases underwent direct LSCS and among rest 55% cases were induced and 45% cases delivered after spontaneous progression. Duration of leaking (>24 hrs) was significantly associated with higher NICU admission (p=0.04), low 5-minute APGAR score (p
Keywords: PPROM, vaginal delivery, LSCS, NICU, chorioamnionitis, morbidity, mortality
How to Cite?: Dr. Nimisha Biyala, Dr. Manju Agarwal, "A Clinical Study on Fetomaternal Outcome in Preterm Prelabour Rupture of Membranes", Volume 10 Issue 8, August 2021, International Journal of Science and Research (IJSR), Pages: 306-311, https://www.ijsr.net/getabstract.php?paperid=SR21805234309, DOI: https://dx.doi.org/10.21275/SR21805234309