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Indian Journal of Obstetrics and Gynecology

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Maternal and Perinatal Outcome in Term Premature Rupture of Membrane

Alak B. Patil, Professor & HOD, Dept. of Obstetrics and Gynecology, ACPM Medical College, Dhule – 424001, Maharashtra, India. , Alka Patil1 , Nitin Kulkarni2 , Anamika Arun3 , Shruti Singh4 , Nilay Patel5

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Indian Journal of Obstetrics and Gynecology 6(2):p 107-114, Mar-Apr 2018. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6218.3

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Abstract

Introduction: Term premature rupture of membrane is defined as the spontaneous rupture of foetal membrane after 37 completed weeks and before labour onset. One of the most important functions of the membrane is to remain intact until the onset of labour at term in order to maintain the protective intrauterine fluid environment, the amniotic fluid upon which foetus depends for its survival in utero. PROM complicates the pregnancies and leads to many complications. It increases the risk of prematurity and leads to other perinatal and neonatal complications with risk of foetal death. Aims and Objectives: 1. To study the outcome of labour in PROM. 2. To study maternal complications in PROM. 3. To evaluate perinatal outcome In PROM. Material and Methods: Total 100 patients of PROM in between 3740weeks gestation were selected. This is retrospective study for duration of 2 years in ACPM Medical College. Results: In this study 34 patients went into spontaneous labour and 40 patients needed induction or augmentation. Incidence of LSCS was 26% & vaginal delivery was 74%. Maternal morbidity was found in 7%. Perinatal morbidity & mortality were significantly increased mainly due to Jaundice, RDS, sepsis and birth asphyxia. Conclusions: PROM is a significant obstetrics problem which lead to increased maternal complications, operative procedures, neonatal morbidity and mortality. Careful antenatal monitoring, Strict aseptic precautions, appropriate therapy, identification of risk factors like cervicovaginal infection and their management and regular antenatal followup are important factors in the prevention and management of PROM.

 

Keywords: Premature Rupture of Membrane (PROM); Respiratory Distress Syndrome (RDS); Infection; Chorioamnionitis. 

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6218.3

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