Maternal and Neonatal outcome in premature rupture of membranes

Authors

  • Salma Lovereen Assistant Professor, Gynae & Obs, Ibn Sina Medical College & Hospital, Dhaka
  • Mst Afroza Khanum Assistant Professor, Gynae & Obs, Monno Medical College, Manikgang
  • Nazlima Nargis Associate Professor, Gynae & Obs, Ibn Sina Medical College & Hospital, Dhaka
  • Shahanawaj Begum Registrar, Gynae & Obs, Ibn Sina Medical College & Hospital, Dhaka
  • Rumana Afroze Assistant Registrar, Gynae & Obs, Ibn Sina Medical College & Hospital, Dhaka

DOI:

https://doi.org/10.3329/bjms.v17i3.37004

Keywords:

PROM, Risk factor, Maternal outcome, Perinatal outcome

Abstract

Objective: The objective of the study was to assess the maternal and neonatal outcome in premature rupture of membranes.

Material and Methods: A prospective study was carried out in the department of Obstetrics &Gynae in Ibn Sina Medical College hospital from October’15 to September’16. The sample size was 110. The maternal and neonatal outcome of pre-labour rupture of membranes in both term and preterm pregnancies was observed and statistically analyzed.

Results: Incidence of PROM (premature rupture of membrane) was commonly in primigravida (62.7%). Term PROM was higher (70.92%) than PPROM (29.09%). Aetiological analysis revealed cause is unknown in most of the cases. Infection in 26.4% cases, previous history of PROM 16.3% and history of recent coitus 9.09% cases. Patient delivered by vaginal route 70.91% and LSCS 29.09%. The PROM had higher maternal morbidity (27.8%) like post partum fever 11.8%, wound infection 4.5% and chorioamnionitis 3.6%. Also higher perinatal mortality (4.5%) and morbidity (26.4%) like respiratory distress syndrome 9.09%, birth asphyxia 4.5%, septicemia 5.8%.

Conclusion: Antenatal diagnosis to prevent PROM by identifying the risk factors is an important tool in management. Steroid for fetal lung maturity, antibiotics to prevent fetal and maternal infection, induction and/or augmentation of labour in due time and skilled NICU support will speed delivery, reduce hospital stay and infection as well as decrease maternal morbidity and perinatal morbidity and mortality.

Bangladesh Journal of Medical Science Vol.17(3) 2018 p.479-483

Downloads

Download data is not yet available.
Abstract
44
PDF
70

Author Biography

Salma Lovereen, Assistant Professor, Gynae & Obs, Ibn Sina Medical College & Hospital, Dhaka



Downloads

Published

2018-06-29

How to Cite

Lovereen, S., Khanum, M. A., Nargis, N., Begum, S., & Afroze, R. (2018). Maternal and Neonatal outcome in premature rupture of membranes. Bangladesh Journal of Medical Science, 17(3), 479–483. https://doi.org/10.3329/bjms.v17i3.37004

Issue

Vol. 17 No. 3 (2018)

Section

Original Articles

License

Authors who publish in the Bangladesh Journal of Medical Science agree to the following terms that:

  1. Authors retain copyright and grant Bangladesh Journal of Medical Science the right of first publication of the work.

  2. Creative Commons Licence
    Articles in Bangladesh Journal of Medical Science are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0.This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.
  3. Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  4. Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.