Determinants of Premature Rupture of Membranes Among Pregnant Women Admitted to Public Hospitals in Southern Ethiopia, 2020: A Hospital-Based Case–Control Study

Habte, Aklilu; Dessu, Samuel; Lukas, Kaleegziabher

doi:10.2147/ijwh.s314780

Cited by 14 publications

(17 citation statements)

References 44 publications

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“…Roopa S et al 17 from India also reported postpartum hemorrhage (32.8%) as leading cause of MNM followed by hypertensive disorder of pregnancy (23.6%) in their study. Post-partum hemorrhage is the most important cause of MNM in many other studies conducted by Galvao et al 18 in Brazil, Gupta et al 19 in India and Habte et al 20 in Africa. In contrast to our study, hypertension in pregnancy was the main cause of MNM in other studies conducted by Shrestha et al 21 in Nepal, Patankar et al 22 in India and Liyew et al 23 in Africa.…”

Section: Discussionmentioning

confidence: 91%

Study of Maternal Near Miss Events at Nepal Medical College and Teaching Hospital

Giri¹,

Vaidya²,

Tuladhar³

et al. 2022

Nep. Med. Coll. J.

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Maternal near miss (MNM) is defined as woman who nearly died from complication during pregnancy, childbirth or within 42 days of termination of pregnancy but survives either due to care she receives or due to chance. Maternal near miss and maternal deaths share many characteristics and pathological processes and MNM being more frequent than death, review of MNM gives us an opportunity to assess the quality of obstetric care in the institutions and area of improvement. As maternal morbidity precedes maternal deaths, the study of near miss cases provides understanding of the determinants of maternal morbidity and mortality and help in reducing it. The aim of this study was to assess the MNM events in our institutions based on WHO organ dysfunction-based criteria. A descriptive cross-sectional study was carried out in a tertiary care hospital in Kathmandu over two years period from July 2020 to June 2022 after taking ethical clearance from Institutional Review Committee. During the study period, there were 3493 live births, 40 maternal near miss cases and no maternal deaths. The MNM ratio was 11.45/1000 live births and the prevalence of MNM was 1.13%. Postpartum hemorrhage 11 (27.5%), early pregnancy complications 8 (20%) and hypertensive disorder of pregnancy 5 (12.5%) were the major contributor of MNM. Coagulation/ Hematological system dysfunction 22 (55%) was the most common organ involved in MNM. ICU admission and blood transfusion more than five units were the common intervention done. Effective use of critical care, evidence-based intervention and timely referral will help to reduce maternal morbidity and mortality.

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Section: Discussionmentioning

confidence: 91%

Study of Maternal Near Miss Events at Nepal Medical College and Teaching Hospital

Giri¹,

Vaidya²,

Tuladhar³

et al. 2022

Nep. Med. Coll. J.

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show abstract

“…The discrepancy findings between studies could be attributed to factors such as maternal comorbidities, socioeconomic status of women, and previous obstetric and delivery histories. Previous studies indicated that preterm PROM was attributed to these factors (17)(18)(19). Type of pregnancy (single vs. multiple), intrauterine infection, trauma, poor nutrition during pregnancy, vaginal bleeding, educational level, race, sociodemographic factors, genetic predisposition, and uterine over distention were also contributed to preterm PROM (20-23).…”

Section: Rate Of Preterm Prommentioning

confidence: 99%

Determinants for perinatal adverse outcomes among pregnant women with preterm premature rupture of membrane: A prospective cohort study

Abebe

Nima

Mariye

et al. 2022

Front. Reprod. Health

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BackgroundOne of the most critical functions of the fetal membranes is to remain intact until the onset of labor to maintain the protective intrauterine fluid environment. In most pregnancies, spontaneous rupture usually occurs near the end of the first stage of labor. Preterm premature membrane rupture (PROM) occurs when the fetal membrane ruptures before 37 weeks of pregnancy, and it contributes to adverse maternal, fetal, and neonatal outcomes. Therefore, this study aimed to determine the association of determinant factors with adverse perinatal outcomes.MethodsA prospective cohort study was conducted on pregnant women with preterm premature membrane rupture (n = 160) attending the teaching hospitals at Addis Ababa University. Socio-demographic and obstetric risk factors with adverse perinatal outcomes include the 5th minute Apgar score, neonatal intensive care unit (NICU) admission, early-onset neonatal sepsis (EONS), respiratory distress syndrome (RDS), perinatal mortality, Chorioamnionitis, and placental abruption were assessed. SPSS version 24, t-test, χ2 test, and logistic regression analysis were used. P-values <0.25 in the bivariate and p < 0.05 in the multiple logistic regression were considered statistically significant.ResultsThe preterm (PROM) rate was 2.2% with perinatal mortality rate of 206/1,000. Gestational age (GA) at delivery was the determinate for low Apgar score at the 5th minute (AOR: 7.23; 95% CI, 1.10, 47.6; p = 0.04). Unable to use steroid (AOR: 8.23; 95% CI, 1.83, 37.0; p = 0.000), GA at membrane rupture (AOR: 4.61; 95% CI, 1.98, 31.8; p = 0.000) and delivery (AOR: 4.32; 95% CI, 1.99, 30.9; p = 0.000) were determinates for NICU admission. EONS was significantly affected by GA at membrane rupture (AOR: 5.9; 95% CI, 1.01, 37.0; p = 0.04). Placental abruption was significantly affected by GA at delivery (AOR: 7.52; 95% CI, 1.15, 48.96; p = 0.04).ConclusionGA at membrane rupture and delivery was the most critical predictors of adverse perinatal outcomes. Local guidelines on the approach and preterm PROM outcome management need to be prepared.

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“…(5) . Worldwide it is reported that the prevalence of PPROM shows a great variation between different countries whereby in Uganda (13.8%), Brazi (3.1%), Manipur, India (2.2%), (17) Bangladesh (8%), Egypt (5.3%), and Oman (1.8%). (30) As the time between the rupture of the membranes and the onset of labor increases, so may the risk of maternal and fetal infection.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of the pattern of Pre-labor premature rupture of membranes among pregnant women at Al-Sadaqa Teaching Hospital, Aden, Yemen

الكعكي¹

2022

Journal of Medical and Pharmaceutical Sciences

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Pre-labor rupture of membranes (PROM) is the rupture of membranes before the onset of labor. It is a common obstetric problem (3 -4%) in developed and developing countries. The aim of this study to describe the pattern of PROM in pregnancies at Al-Sadaqa Teaching Hospital, Aden, Yemen from January to February 2020. This is a descriptive hospital based study of the patients diagnosed as PROMs managed in the Obstetrics and Gynecology Department. In this study 151 pregnant women with PROM comprising 11.1% of 1360 total deliveries. Only 9 (0.7%) patients presented with preterm premature rupture of membranes (PPROM) and 142 (10.4%) with term premature rupture of membranes (TPROM). The mean maternal age with PROM was 26.12 ± 6.67 years. With increasing parity, there was a decrease in the PROM; 6.0% in multipara to 4.6% in grand-multipara. The time interval from membrane rupture to delivery was >24 hours in 47% of them. Anemia was the main predisposing factor causing PROMs (47.0%) followed by history of abortion and urinary tract infection (UTI) (29.1%, and 19.9% respectively). About 81.5% of them delivered vaginally while 18.5% by lower segment cesarean section. Conclusions: The prevalence of PROM in this study was comparably higher than the international average. A higher proportion of them delivered vaginally. The major contributing factors were anemia, history of abortion and UTI and increasing risk with prolonged rupture of membrane > 24hrs. It is of paramount importance to screen for UTI with timely treatment initiation and those with recurrent abortion require close monitoring on risk of PROM during subsequent pregnancies.

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Determinants of Premature Rupture of Membranes Among Pregnant Women Admitted to Public Hospitals in Southern Ethiopia, 2020: A Hospital-Based Case–Control Study

Cited by 14 publications

References 44 publications

Study of Maternal Near Miss Events at Nepal Medical College and Teaching Hospital

Study of Maternal Near Miss Events at Nepal Medical College and Teaching Hospital

Determinants for perinatal adverse outcomes among pregnant women with preterm premature rupture of membrane: A prospective cohort study

Prevalence of the pattern of Pre-labor premature rupture of membranes among pregnant women at Al-Sadaqa Teaching Hospital, Aden, Yemen

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