FETOMATERNAL OUTCOMES IN PREMATURE RUPTURE OF MEMBRANES AT TERM: A CASE CONTROL STUDY

Abstract

Background: Premature rupture of membranes (PROM) also known as pre-labor rupture of membranes (PROM) is defined as spontaneous rupture of the membranes any time beyond 28th week of pregnancy but before the onset of labor.

Methods: 100 patients who entered labour room at term with PROM were taken as cases and those with intact membranes as controls. Investigations are sent, and prophylactic antibiotics were given. Progress of labour, PROM delivery interval, method of induction, mode of delivery along with maternal and fetal outcomes, total duration of hospital stay was noted and compared with controls.

Results: In our study out of 100 cases studies, 22% accounted for respiratory distress syndrome, 13% septicemia in study group. while conjunctivitis, neonatal jaundice (hyperbilirubinemia) and intraventricular hemorrhage accounted for 2%, 3% and 2% each.

Conclusion: From the above study, it can be concluded that PROM can be associated with poor fetomaternal outcome. Early diagnosis and prompt management is required for better outcome of mother and baby.

Keywords: Chorioamnionitis, Maternal and perinatal morbidity, PROM.