A study of maternal and perinatal outcome in premature rupture of membranes

Abstract

Background and Objectives: Premature rupture of membranes is a significant event which is unpredictable. As it can cause maternal complications like chorioamnionitis, increased operative procedures, puerperal sepsis and neonatal morbidity and mortality. The present study is undertaken to study the labour outcome, maternal morbidity and perinatal morbidity and mortality in PROM. Methods: Cases of spontaneous rupture of membranes with confirmed PROM by a speculum examination were selected. A detailed history was taken and gestational age confirmed, general, systemic and obstetric examinations were done. Parameters of maternal and fetal wellbeing were recorded. The diagnosis of chorioamnionitis was done by clinical examination, all study groups received prophylactic antibiotics. Single pelvic examination done and maternal vitals recorded fourth hourly.Results: PROM was common in primigravida. Majority of women were admitted within six hours of PROM (46.0%). Cesarean sections were more among primigravidas. Failure to progress was the common indication. Maternal morbidity was significant (24.0%). No maternal mortality in the study. Perinatal mortality 3.5%. Birth asphyxia was the commonest cause. Perinatal morbidity was seen in 28%.Interpretation and Conclusion: PROM is associated with many complications which can be reduced, by educating the women to have regular antenatal care, and early recognition of genital tract infection, and treat appropriately and to report at the earliest.