MATERNAL AND PERINATAL OUTCOME IN PRETERM PREMATURE RUPTURE OF MEMBRANES

Dr. Velpula Srilakshmi, Dr. Deepthi Parimala Mastha

Abstract


Background: This is a prospective observational study carried out in department of Obstetrics and Gynecology, in ASRAM Medical college, Eluru to
determine the factors inuencing fetal and maternal outcome, prognosis and complications in preterm premature rupture of membrane cases.
Methods: The present study is a prospective observational study of perinatal and maternal outcome in 50 cases of preterm premature rupture of
membranes in between 28 to 37 weeks of gestation with singleton pregnancy, from December 2018 to November 2019. Patients with medical
complications like anemia, pre-eclampsia and eclampsia, diabetes mellitus, vascular or renal disease, polyhydramnios, multiple gestations, uterine or
fetal anomalies etc. are excluded from the study. Detailed history, general physical examination, abdomen and pelvic examination were carried out.
Results: In this study, 54% of cases are primigravida and 46% of cases are multigravida. Patients belonging to low socioeconomic status accounts
for 60%, and middle socioeconomic status for 38%. Perinatal morbidity is seen in 70% and most common causes are RDS( 18%), sepsis(22%) and
hyperbilirubinemia (26%).Twenty-three neonates(46%) were delivered by caesarean section. The main indications for caesarean being fetal
distress( 43.4% ).
Conclusions: PPROM is one of the important causes of preterm birth that can result in high perinatal morbidity and mortality along with maternal
morbidity. The most common cause of perinatal mortality in early PPROM is prematurity and its complications. In late PPROM perinatal outcome
is good.It is suggested that timely diagnosis and management of PPROM is critical to optimize perinatal outcome and minimize neonatal
morbidity.


Keywords


PPROM, Latency period, Perinatal morbidity

Full Text:

PDF

Refbacks

  • There are currently no refbacks.