Late Preterm Premature Rupture Of Membrane : A Study on Maternal and Neonatal Outcome

Prof (Dr.) Rabindranath Behera; Dr Ramakanta Sahoo; Dr Avilas Das; Dr Pruthiraj Behera

Volume : VIII, Issue : III, March - 2019

Late Preterm Premature Rupture Of Membrane : A Study on Maternal and Neonatal Outcome

Prof Dr. Rabindranath Behera, Dr Ramakanta Sahoo, Dr Avilas Das, Dr Pruthiraj Behera

Abstract :

Background: This is an Prospective observational analytical study carried out in department of obstetrics and Gynecology, Hi–Tech Medical College & Hospital, Bhubaneswar, in a tertiary care center to determine the factors influencing fetal and maternal outcome, prognosis and complications in preterm premature rupture of memane cases. Methods: The present study is a prospective observational study of maternal and neonatal outcome in 100 cases of preterm premature rupture of memanes in between 34–37 weeks gestation with singleton pregnancy, from 1st Jan 2017 to 31st Dec 2018. Patients with medical complications like anemia, preexisting hypertension, diabetes, vascular or renal disease, multiple gestations, uterine or fetal anomalies etc. are excluded from the study. Detailed history, physical examinations were carried out and appropriate management instituted as per individual patients need. Results: In this study maternal morbidity was 35%. Perinatal morbidity was 68% and most common causes were hyperbilirubinemia (23%), Sepsis (15%). Perinatal mortality was seen in 1% and mainly due to very LBW. Fifty Eight (58%) neonates were delivered by cesarean. The main indications for cesarean being fetal distress (43.3%) followed by non progress of labour (36%) . Conclusions: PPROM is one of the important causes of preterm birth that can result in high perinatal morbidity and mortality along with maternal morbidity. Looking after a premature infant puts immense burden on the family, economy and health care resources of the country. An understanding of gestational age dependent neonatal morbidity and mortality is important in determining the potential benefits of conservative management of preterm PROM at any gestation.