FETAL OUTCOME IN PROM (PREMATURE RUPTURE OF MEMBRANES) AT TERM PREGNANCY – A STUDY IN 450 BEDDED MATERNITY HOSPITAL OF DELHI

Mohini Paul; Sangita Nangia Ajmani; Aayushi Jain

Volume : VII, Issue : VII, July - 2017

FETAL OUTCOME IN PROM (PREMATURE RUPTURE OF MEMBRANES) AT TERM PREGNANCY – A STUDY IN 450 BEDDED MATERNITY HOSPITAL OF DELHI

Mohini Paul, Sangita Nangia Ajmani, Aayushi Jain

Abstract :

Background: Premature Rupture of Memanes (PROM) remains a subject of great clinical relevance. The present study was conducted to study perinatal morbidity and mortality in patients with PROM at term.

Methods: A prospective case control study was conducted at the Department of Obstetrics and Gynaecology, Kasturba Hospital, Daryaganj, New Delhi. 100 pregnant patients presenting to the labour room with features of PROM at term (POG >= 37 weeks) were taken as cases and 100 term pregnant women (age and parity matched) with intact memanes were taken as controls and compared in terms of perinatal outcome.

Results: Current study reported perinatal morbidity rate of 25% in cases which was significantly higher than in control group (5%). The major causes of perinatal morbidity were perinatal sepsis (15%), birth asphyxia (5%), low birth weight (31%), pneumonia (4%), meningitis (1%), hyperbilirubinemia (5%) and low Apgar scores (15%). 25% of the babies of the case group were admitted to NICU as compared to only 5% babies born to the control group. Perinatal mortality rate was 3% in the term PROM group as compared to only 1% in the control group.

Conclusions: In patients with Term PROM, perinatal morbidity and mortality was significant.