Abstract

Premature rupture of membranes is the most challenging obstetric dilemma which occurs even in low-risk pregnancies and can convert a traditional pregnancy into a high-risk pregnancy. This study aims to determine feto-maternal outcome, especially in the context of developing countries to help in formulating intervention strategies. Methods: This study is a hosptial based prospective study conducted on pregnant woman at term pregnancy (37-42 wks) presenting with PROM admitted in labour room in SHKBMC of Jhalawar Medical College, Jhalawar. Results: 42.50% cases delivered by LSCS and 57.50% cases were delivered by normal vaginal delivery. 79 patients (49.38%) delivered babies whose birth weight was between 2-2.5 kg 54 patients (33.75%) and 27 patients (16.88%) delivered babies of >2.5 kg and <2.0 kg birth weights respectively. No maternal complications were seen in 129 cases (80.63%) of PROM. Chorioamnionitis (8.13%) was the most common maternal complication followed by puerperal pyrexia (5.63%) and abruption each contributing to 3.75%. babies born to 38 mothers had NICU admission. Almost 76.25% of the newborn had no complications. 13.13% suffered from respiratory distress syndrome, 6.25% had septicemia, 3.75% suffered from septicemia and 2.50% had intraventricular hemorrhage. Mean APGAR score at 1 min was 7.56±1.02 and at 5 mint. was 8.50±1.13. Neonatal mortality was 5.63%. Conclusion: In the present study we concluded that maternal morbidity and neonatal morbidity was associated with PROM. Prediction of these morbidities is an important step in the management of infection associated with PROM. Hence an appropriate and accurate diagnosis of PROM is essential for favorable outcome in pregnancy. ANC cases should be educated regarding regular and timely antenatal checkup. The obstetrician and neonatologist should work as a team to ensure optimal care for mother and neonate

Description