Downloads: 3 | Views: 254 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1
Research Paper | Obstetrics and Gynecology | India | Volume 10 Issue 8, August 2021 | Popularity: 5.3 / 10
A Clinical Study on Fetomaternal Outcome in Preterm Prelabour Rupture of Membranes
Dr. Nimisha Biyala, Dr. Manju Agarwal
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<0.05) and increased chorioamnionitis occurrence (p=0.003). Maternal morbidity was 5.6%. Perinatal morbidity was 40.8% and neonatal mortality was 12%. Conclusion: Currently, there is no effective way of preventing spontaneous rupture of fetal membranes and the management of PPROM varies according to the gestational age. Therefore, prevention of risk factors like maternal infections and malnourishment during antenatal period may lead to better outcome with regular follow up. Also, timely management to treat PPROM would control neonatal and maternal morbidities.
Keywords: PPROM, vaginal delivery, LSCS, NICU, chorioamnionitis, morbidity, mortality
Edition: Volume 10 Issue 8, August 2021
Pages: 306 - 311
DOI: https://www.doi.org/10.21275/SR21805234309
Make Sure to Disable the Pop-Up Blocker of Web Browser
Similar Articles
Downloads: 0
Research Paper, Obstetrics and Gynecology, India, Volume 10 Issue 10, October 2021
Pages: 1076 - 1079Blood Transfusion Practices in Obstetrics PT in a Tertiary Hospital
Subhashini Trivedi, Dr. Archana Singh, Dr. Prakash Chandra Mishra
Downloads: 0
Case Studies, Obstetrics and Gynecology, India, Volume 11 Issue 6, June 2022
Pages: 1071 - 1073Luteoma of Pregnancy: A Case Report
Pawan Nimbhorkar, Shravni Mohite
Downloads: 0
Subjective Paper, Obstetrics and Gynecology, India, Volume 11 Issue 9, September 2022
Pages: 1189 - 1192Perinatal Outcome in Subclinical Hypothyroidism
Iqra Riyaz, Ulfat Shah
Downloads: 0
Research Paper, Obstetrics and Gynecology, India, Volume 11 Issue 11, November 2022
Pages: 736 - 739Implementation of Trial of Labour (VBAC) for Reduction in Repeat Caesarean Section Rate
Dr. Ashlesha Pawar, Dr. Deepak Bade, Dr. Payal Jadhvar
Downloads: 0
Research Paper, Obstetrics and Gynecology, India, Volume 12 Issue 1, January 2023
Pages: 603 - 606A Study of Prevalence of Vitamin D Deficiency in Pregnancy and its Correlation with Obstetric Outcome
Dr. Kalpana Verma, Dr. Nitu Kumari