Evaluation of Feto-maternal Outcome with Prelabour Rupture of Membranes in Term Pregnancy

Abstract

Premature rupture of membrane (PROM) is defined as the disruption of fetal membranes before the beginning of labor, resulting in spontaneous leakage of amniotic fluid. The present study is undertaken to study the labor outcome, maternal morbidity and perinatal morbidity and mortality in term PROM. This is a Prospective Observational and Descriptive type Study conducted at Government Medical college, Kota for a period of eighteen month from January 2019 to June 2020. 200 cases of Spontaneous rupture of membrane with term gestation and confirmed by per speculum examination were selected. PROM was common in primigravida (62.50%), majority of belonged to age group of 20-29 years (89.0%). Need of induction required in 88% of cases, induction by cerviprime-gel done in 84.5% cases, Cesarean sections were more among primigravida. Failed induction was the common indication (44.11%). Maternal morbidity was significant (20.0%). Febrile morbidity was the major morbidity noticed with 14.50% followed by PPH 1.5%. No maternal mortality in the study. Perinatal morbidity was seen in 21% of cases. Birth asphyxia was the commonest cause for perinatal morbidity (14.0%). No Perinatal mortality was seen in this study. Escherichia coli (16.50%) was common organism found in culture of amniotic fluid. Majority of babies had APGAR score 6 &7 at 1 minute of birth and APGAR score 9 and 10 at 5 min. of birth. 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.