IJSR - International Journal of Scientific Research

Volume : VII, Issue : VIII, August - 2018

Dr. Kumari Anamika, Dr. Nandini Goswami, Dr. Namrata Parida, Dr. Debarshi Jana

PRETERM PREMATURE RUPTURE OF MEMBRANES (PPROM) IS A COMMON OBSTETRIC PROBLEM, ONE OF MOST COMMON

CLINICAL EVENTS WHERE NORMAL PREGNANCY CAN TURN INTO HIGH RISK SITUATION FOR MOTHER AS WELL AS FETUS.

THIS STUDY AIMS AT TO ASSESS THE MATERNAL MORBIDITY AND PERINATAL OUTCOMES IN PRE–TERM PRE MATURE

RUPTURE OF MEMBRANES BETWEEN 32 TO 36 WEEKS OF GESTATION WITH RESPECT TO AMNIOTIC FLUID INDEX VALUE.

200 PREGNANT MOTHERS AT 32 TO 36 WEEKS OF GESTATIONAL AGE WITH PPROM WITHOUT ANY OTHER OBSTETRICAL

COMPLICATIONS WERE INCLUDED IN THIS STUDY. USG FOR FPP & AFI WERE DONE ON ADMISSION OR, AS SOON AS

POSSIBLE .THEN THE PATIENTS WERE MONITORED FOR ANY SIGN & SYMPTOMS OF MATERNAL & FETAL COMPROMISE. THE

RELATION BETWEEN AFI VALUES & PERINATAL OUTCOME WAS OBSERVED.

AMONG 200 PATIENTS 80 HAD AFI VALUE ≤5 CM WHEREAS 120 PATIENTS HAD AFI >5CM AND GROUPED AS I & II

RESPECTIVELY. 93.75% OF PATIENTS IN GROUP I (AFI≤5) & 80.83% IN GROUP II WERE DELIVERED WITHIN TWO WEEKS OF

PREMATURE RUPTURE OF MEMBRANE AND THE DIFFERENCE WERE STATISTICALLY SIGNIFICANT. 51.25% PATIENTS IN

GROUP I & 27.5% IN GROUP II WERE DELIVERED BY CAESAREAN SECTION. CS WAS FOUND SIGNIFICANTLY HIGHER IN

GROUP I (AFI≤5). 40% BABIES IN GROUP I (AFI≤5) & 26.6% IN GROUP II (AFI>5) WERE FOUND TO HAVE THEIR 1 MIN APGAR

SCORE <7. THIS ASSOCIATION WAS STATISTICALLY SIGNIFICANT. 48.75% BABIES IN GROUP I & 29.17% IN GROUP II WERE

ADMITTED IN NICU AND THIS ASSOCIATION WAS STATISTICALLY SIGNIFICANT.

WE CONCLUDED THAT PERINATAL OUTCOME IS AFFECTED BY PPROM AND SPECIALLY RELATED WITH ITS DURATION,

LONGER THE DURATION OF PPROM GREATER IS THE PERINATAL COMPLICATIONS.