Original Research Article
Year: 2022 | Month: January | Volume: 9 | Issue: 1 | Pages: 610-613
DOI: https://doi.org/10.52403/ijrr.20220170
Fetal-Maternal Complications due to Premature Rupture of Membranes: A Prospective Study at Valley’s Famous Maternity Hospital
Palvi Banotra1, Zahoor Ahmad2, Samaa Haneef3
1Department of Health and Medical Education, Jammu and Kashmir
2PG Department of Statistics, University of Kashmir, Srinagar
3The Oxford Medical College, Hospital & Research Centre, Bangalore.
Corresponding Author: Palvi Banotra
ABSTRACT
Background: The fetal membrane remains intact till the labor starts in order to maintain the protective intrauterine fluid environment. However, sometimes membranes ruptures prematurely (PROM), a condition in which the disruption of fetal membranes takes place before the beginning of labor that ultimately results in spontaneous leakage of amniotic fluid. The present study is aimed to evaluate the feto-maternal outcomes due to premature rupture of membranes at term.
Methods: A total 70 pregnant women patients with premature rupture of membranes after 37 completed weeks were selected in the study after they properly signed the consent form. Gestational age was confirmed from LMP, clinically, and radiologically. Cervical dilatation of <3 cms, Lack of uterine contractions for at least 1 hour from PROM, Single live pregnancy in vertex presentation and PROM confirmed by Direct visualization or Litmus.
Results: Febrile illness as maternal outcome was found in 18.6% patients followed by wound infection in 4.3%. Rest of the patients had pph (2.9%), UTI (1.4%) and sepsis (2.9) as maternal outcome. Perinatal outcome was assessed among the studied patients and it was found that (17.1%) had birth asphyxia followed by (5.7%) patients with septicemia perinatal outcome. Only (2.9%) patients had death as perinatal outcome.
Conclusion: The present study revealed that PPROM is undoubtedly associated with a prenatal morbidity and mortality. However, early diagnosis and timely management is must in order to reduce the associated complications due to PROM.
Keywords: Premature rupture of membrane, perinatal complications, gestational age.
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