European Journal of Molecular & Clinical Medicine

Abstract

Background: Premature rupture of membrane (PROM) is an important obstetric complication associated with maternal and fetal morbidity. It has a diverse etiology and management is distinct in cases. We in the current study tried to analyze the maternal and perinatal outcome in pre-labor rupture of membranes at term gestation (≥37 weeks).
Methods: In the included casesthe obstetric examination, included the height of the uterine fundus, lie, presentation and position of the fetus, engagement of presenting part, condition of uterus whether acting or relaxed. A sterile speculum examination was done, and the condition of the vagina and cervix was noted. Liquor draining from the OS was observed. The color and smell of fluid were noted. If no fluid was seen, the lady was asked to cough, and drainage of fluid was looked for.
Results: 58% of women were admitted within 6 hours of PROM, 17.5% between 6-12 hours, 17.9% between 12-24 hours, 6.1% got admitted after 24 hours of PROM 0.5% after 48 hours of PROM. The shortest period of PROM was 1 hour, and the longest period was 72 hours. The mean duration of PROM to admission was 9.08 hrs. Cesarean section rate was 40.6% Common indication was fetal distress accounting for 18.4%. Failure to progress was the next common indication accounting for 10.8%. The rate of maternal morbidity was 18.4%, commonest was Febrile Morbidity seen in 8%.
Conclusion: PROM is a common condition associated with a high risk of maternal morbidity, perinatal morbidity, and mortality. In the present study, the incidence of PROM at term gestation was 2.8%. Maternal morbidity was seen in 18.4%. Febrile morbidity is the commonest accounting for 8% and No maternal Mortality was found in this study.