Abstract Issue

Volume 12 Issue 1 (January- March) 2023

Original Articles

Assessment of neonatal and maternal outcome of premature rupture of membrane
Dr. Shalini Kumari, Dr. Swan Lata Das, Dr. Abha Rani Sinha

Background: Preterm premature rupture of membranes is a relatively common complication in pregnancy. The present study was conducted to assess maternal and neonatal outcome in patients with premature rupture of membrane. Materials & Methods: 80 cases of premature rupture of membrane of more than 37 weeks of gestation was included. Maternal and neonatal outcome was recorded. Results: Indication for LSCS was seen in failure to progress in 17, fetal distress in 8, malpresentation in 3 and failed induction in 2 cases. Rupture of membrane to delivery interval was <16 hours seen in 24, 16-20 hours in 46 and >20 hours in 10 cases. The difference was significant (P< 0.05).GA at delivery was 31.5 weeks, birth weight was 1724.2 grams, Apgar score at 1 minute was 6.7 and at5 minute was 9.4. Maternal outcome was fever in 36, puerperal sepsis in 12, UTI in 7, chorioamniotis in 18, adherent placenta in 5, wound infection in 2, PPH in 3 and maternal mortality was seen in 1 case. The difference was significant (P< 0.05). Conclusion: Maternal morbidity was associated with increased duration of PROM. Maternal outcome was fever, puerperal sepsis, UTI, chorioamniotis, adherent placenta, wound infection, PPH and maternal mortality.

 
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