STUDY OF MATERNAL AND PERINATAL OUTCOME IN PREMATURE RUPTURE OF MEMBRANES AT TERM GESTATION IN A TERTIARY CARE HOSPITAL- GOVERNMENT MATERNITY HOSPITAL, TIRUPATI, ANDHRA PRADESH, INDIA
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 4, Pages 2484-2496
AbstractBACKGROUND – The study of maternal and perinatal outcomes in premature rupture of membranes at term gestation was conducted in patients admitted to a government maternity hospital, Tirupati,Andhra Pradesh, India.
MATERIALS & METHODS-A prospective hospital-based study was undertaken with 200 cases with premature rupture of membranes (PROM) at or above 37 weeks of gestation in the Department of Obstetrics and Gynaecology, GMH, SV medical college, Tirupati from December 2020 to December 2021
RESULTS- The majority of the participants in the study were between the ages of 20 and 24 (64 %). Majority of PROM cases were found in unbooked cases (76.0 %). In the study population, primigravidas (58.0%) had a higher rate of PROM than multigravidae (42 %). The majority of the participants were from a low socioeconomic background (76 %). Most of the women were admitted within 6 hours (46%) and very few cases were admitted after 24 hours of the onset of PROM (3%). The shortest period of PROM was 1 hour and the longest period was 72 hours with a mean duration of 8.61 hours. 31% (n=62) of the study population were delivered by caesarean delivery, among them failure to progress, accounting for 48.38 % (n=30) and foetal distress in 28.03 % (n=18). Maternal morbidity was seen in 19.5% (n=39) Febrile morbidity was seen in 10% (n=20). Urinary tract infection was seen in 4% (n=8). Wound infection was seen in 2% (n=4), PPH seen in 2% (n= 4), Chorioamnionitis was seen in 1% (n=2), Puerperal sepsis in 1 %( n=2). Perinatal morbidity was seen in 24% and perinatal mortality in 0.5% of the neonates.
CONCLUSION-According to the present study of PROM, the caesarean section rate was 30.5%. Maternal morbidity was seen in 19.5%, of which febrile morbidity accounted for 10%. Perinatal morbidity was seen in 24% of the cases and the perinatal mortality rate was seen at 0.5%.
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