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Research Paper | Obstetrics and Gynecology | India | Volume 12 Issue 5, May 2023 | Popularity: 6 / 10

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Fetomaternal Outcome of Preterm Premature Rupture of Membranes

Dr. Payamkumar Shukla, Dr. Preeti Goyal, Dr. Shivraj Meena, Dr. Bharti Saxena, Dr. R. P Rawat

Abstract: Background: Preterm premature rupture of fetal membranes (pPROM) is major cause of neonatal mortality and morbidity, is defined as the amniotic fluid leakage before the onset of uterine contractions at < 37 weeks of gestation. Amniotic membranes are connective tissue structures whose tensile strength is determined by collagen synthesis, degradation, and quality. The tensile strength of the membranes grows till 20 weeks, plateaus by 39 weeks and then declines dramatically. Material and methods: The present study was conducted in the Department of OBG, GMC, Kota from 01 - 03 - 2021 to 28 - 02 - 22. 1) All patients of pPROM who presented during study period. 2) Prospective observational study. Observations and results: 200 gravidas admitted with pPROM were assessed in the current study. Majority of them 110 (55%) belonged to age group 21 - 25 years; 132 (66%) were from the low socioeconomic status and 126 (63%) were primigravida; 87 (43.5%) had early onset pPROM (20 - 34wk) and 113 (56.5%) had late pPROM (34 - 37wk). Outcome of labour: - 134 (67%) women delivered vaginally, 66 (33%) required caesarean section. Out of the 67%, 58.5% (117) had normal vaginal delivery, 6% (12) assisted breech, and 2.5% (5) had twin delivery. Indication of LSCS - fetal distress 29 (14.5%), severe oligohydramnios 20 (10%), prior LSCS 13 (6.5%), CPD 5 (2.5%), and breech presentation 3 (1.5%). Perinatal outcome: - Birth weight in the group was 57 (28.5%) was >2.5kg, 2 - 2.5kg in 97 (48.5%), 34 (17%) was 1.5 - 2.0kg, and Only 12 (6%) was <1.5kg. NICU admissions was needed in 72 (36%). The commonest reason being respiratory distress syndrome25 (12.5%), followed by septicemia10 (5%), jaundice 8 (4%), and IVH 6 (3%).13 (6.5%) neonatal deaths were reported out of 200 instances. Conclusion: pPROM cases are associated with maternal and fetal complications. With conservative management with antibiotic and steroids there is significant reduction of fetomaternal complications.

Keywords: pPROM (preterm premature rupture of membranes), LSCS (lower segment caesarean section, fetal distress, NICU admissions, Respiratory distress syndrome

Edition: Volume 12 Issue 5, May 2023

Pages: 1785 - 1788

DOI: https://www.doi.org/10.21275/SR23520154744

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