Abstract
Introduction Preterm premature rupture of membrane is the rupture of membrane before 37 weeks of gestational age. It complicates approximately 3 percent of pregnancies and leads to one-third of preterm births. It increases the risk of prematurity and leads to several other perinatal and neonatal complications, including the risk of fetal death. Although the prevalence and associated factors of preterm premature rupture of the membrane were well studied in high-income countries, there is a scarcity of evidence in Ethiopia, particularly in the study area. Method A hospital-based cross-sectional study design was conducted from 1st June to 30th June 2021 in Wolkite comprehensive specialized hospital. One hundred ninety nine (199) pregnant women were included as study subjects using a systematic random sampling technique. Data were collected using a structured interviewer-administered questionnaire. It carried out descriptive statistical analysis and statistical tests like the odds ratio. Both bivariate and multivariate logistic regression analyses were conducted. Statistically, significant tests were declared at a level of p value < 0.05. Result The magnitude of preterm premature rupture membrane is 6.6%. Having gestational diabetes mellitus (AOR = 5.99 (95% CI: 1.01, 32.97) and previous history of abortion (AOR = 5.31 (95% CI: 1.06, 26.69) were found to be significantly associated with preterm premature rupture of membrane. Conclusion Having gestational diabetes mellitus and having a previous history of abortion were significantly associated with preterm premature rupture of membrane.
Highlights
Preterm premature rupture of membrane is the rupture of membrane before 37 weeks of gestational age
The odds of having preterm premature rupture of membrane among pregnant women who had a history of abortion were five times higher as compared with those who did not have a history of abortion, AOR: 5.31 (Table 3)
Have PPROM Have not PPROM Figure 1: Prevalence of preterm premature rupture of membrane among pregnant women admitted in Wolkite comprehensive specialized hospital, Gurage zone, southern Ethiopia, 2021
Summary
Preterm premature rupture of membrane is the rupture of membrane before 37 weeks of gestational age It complicates approximately 3 percent of pregnancies and leads to one-third of preterm births. Data were collected using a structured interviewer-administered questionnaire It carried out descriptive statistical analysis and statistical tests like the odds ratio. Prove appeared that the size of PPROM accounts in Brazil (3.3%) [3], India (2.2%) [4], China (19.2%) [5], Egypt (3.9%) [6], and Nigeria (3.3%) [7] It increases the hazard of prematurity and leads to several other perinatal and neonatal complications, counting the hazard of fetal death [8]. Survivors had numerous lifetime complications of disability, counting mental retardation and visual and hearing problems [9]
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