A Review Of The Maternal And Fetal Outcomes In Patients Presenting With Premature Rupture Of Membrane

• ORIGINAL ARTICLE | ISSUE DETAILS: VOL NO.3 | ISSUE NO. 2

Abstract

Background: Preterm premature rupture of membrane is a phenomenon that affects women before 37 weeks of gestation and can be caused by different factors. Aim of this study is to evaluate the maternal and fetal out come after recommended treatment for PPROM, and to observe maternal and fetal out come after that recommended treatment.

Methodology: This study has been conducted in Mardan medical complex hospital gynae A Ward in 2019 .We recruited 100 patients of PPROM in our study. Throughout our study, we monitored Maternal and fetal condition from the beginning until the end including prenatal care, childbirth, and postnatal care including weight of the baby, Apgar score along with maternal and neonatal monitoring.

Results: Thirty out of 100 pregnant women that we recruited for our study had pre-term premature rupture of their membranes (PPROM) away from term and 70 women had PPROM near to term. The latency decreased as PPROM approached the term. Out of 100 patients 90 patients delivered vaginally but 10 patients had LSCS. 20 patients had developed maternal morbidity however 80 patients were stable though out the study period. About 95 babies delivered live however 5 were still birth. Babies had RDS and 20 had neonatal septicemia

Conclusion: Delivery of a premature infant needs intensive monitoring during delivery and NICU care after delivery .The management is only possible in tertiary care hospitals where better NICU facility is available. The decision of conservative management and induction should be taken by senior obstetrician.