Volume : VII, Issue : IV, April - 2018

EARLY RUPTURE OF MEMBRANE.OBSTETRIC AND NEONATAL OUTCOME.

Dr Asima Das, Dr Sarika Avasthi

Abstract :

BACKGROUND

Spontaneous rupture of memane anytime beyond 28 weeks of pregnancy but before the onset of labour is called pre labour rupture of memane.These pregnant ladies present with watery discharge per vaginum , pelvic pressure without labour pain.Incidence is 10% of all pregnancies.It is one of the most common cause preterm labour and prematurity.This also leads to significant perinatal complecations like pulmonary hypoplasia,neonatalsepsis,RDS,IVH and NEC in preterm premature rupture of memane.Even CP rate is high.There is increased rate of maternal complecations also. Therefore appropriate evaluation and management are important for better maternal and fetaloutcome.Evidence suggest that induction of labour as opposed to expectant management are important for decreasing the fetomaternal risk of without increasing cesarean delivery rate.

METHOD.

The present prospective study was conducted in the dept of OG in KIMS.BBSR.This is a tertiary care centre with a good neonatal unit.The study period was from Jan to Dec 2017.All cases presented  diagnosed with PROM attending ante natal clinic  and labour waard are included in this study.Following a detailed history taking general,systemic ,obstetric examination done.All investigations were done as per protocol.Diagnosisconfirmed.Continuous monitoring of both fetus and mother condition done.Antibiotictheraphy.corticostreroidtheraphygiven.Maternal and fetal outcome noted.

RESULT

More number of unbooked cases found to be presented with PROM. Most of the cases had pregnancy beyond 34 weeks .Babies were underweight.Fetal outcome were  proportional to  gestational age.

 

CONCLUSION

From the above study it was concluded thatPROM is related with poor fetomaternal outcome. Early diagnosis and timely adequate management is needed for better outcome.

Article: Download PDF    DOI : https://www.doi.org/10.36106/paripex  

Cite This Article:

DR ASIMA DAS, DR SARIKA AVASTHI, EARLY RUPTURE OF MEMBRANE.OBSTETRIC AND NEONATAL OUTCOME., PARIPEX‾INDIAN JOURNAL OF RESEARCH : Volume-7 | Issue-4 | April-2018

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