Incidence of preterm premature rupture of membranes and its association with inter-pregnancy interval: a prospective cohort study

Jena, Belayneh Hamdela; Biks, Gashaw Andargie; Gete, Yigzaw Kebede; Gelaye, Kassahun Alemu

doi:10.1038/s41598-022-09743-3

Cited by 24 publications

(25 citation statements)

References 32 publications

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“…All occur during pregnancy (5.8%). 17,18 In contrast, our study describes fetal outcomes in terms of fetal distress meconium staining CSF 18 (12%), Apgar score (p = 0.053) and NICU admission (p = 0.564). Patients presenting with pregnancy more than 24 weeks with a history or active per vaginal leak should be admitted, detailed obstetrics and per vaginal speculum examination to be performed should be observed for signs of chorioamnionitis and promptly treated with antibiotics cover and steroids coverage to prevent maternal endometritis and fetal respiratory distress syndrome.…”

Section: Discussionmentioning

confidence: 81%

Perinatal Outcome in Premature Rupture of Membranes (PROM) and Pre-Prom (PPROM)

Bibi

Niaz

Shahinda

et al. 2023

J Gandhara Med Dent Sci

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OBJECTIVES This study aimed to evaluate the maternal and fetal outcomes in PROM and PRE-PROM at tertiary care hospitals. METHODOLOGY This Cross-sectional study was carried out in the department of obstetrics and gynaecology at Khyber Teaching Hospital Peshawar after ethical approval of the institutional ethical board. Patients who fulfilled the inclusion criteria were selected. On arrival, detailed history was taken, physical and obstetrical examination and per speculum examination were done, patients were managed conservatively, and steroid cover was given for fetal lung maturity. RESULTS A total of 150 pregnant women who met the inclusion criteria and were complicated by PROM or PRE-PROM were followed. Out of the total patients, 104 presented with PROM, while 46 presented with PPROM. PROM and PPROM patients were identical regarding placental abruption. 104(69.3%) patients presented with PROM and PPROM 46(30.7%). Patients who delivered were 72(52%) normal vaginal delivery (NVD), 57(38%) C-Section, 15(10%) NVD with episiotomy. In NVD 54(63%) spontaneous, 18(12%) induced, while in C-Section 6(4%) elective and 51(34%) emergency C-Section. In PROM, 18(12%) were complicated by chorioamnionitis, fetal distress meconium stained liquor 18(12%), whereas 100 were uneventful, while in PPROM, 122(81.3%) had no complications, 10(6.7%) chorioamnionitis and 40.7% of the neonates had NICU admission. The personal effects of NVD on the duration of PROM/ PRE-PROM in days with p-value 0.027. The p-value of Complications of PRE-PROM was 0.037. CONCLUSION PROM and PPROM presented with increased maternal and fetal morbidity, vaginal infection, and urinary tract infection should be promptly screened and treated on time to prevent maternal morbidities and improve fetal outcomes.

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Section: Discussionmentioning

confidence: 81%

Perinatal Outcome in Premature Rupture of Membranes (PROM) and Pre-Prom (PPROM)

Bibi

Niaz

Shahinda

et al. 2023

J Gandhara Med Dent Sci

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“…The association between short IPI and placental abruption has been reported previously [ 28 ]. A possible explanation of this association could also be related to the previously mentioned theory of abnormal remodeling of the blood vessels in the endometrium among patients with short IPI [ 21 ].…”

Section: Discussionmentioning

confidence: 93%

“…For example, in a study that found a correlation between recurrent short IPI and PTB [ 20 ], it was argued that the findings of the study strengthened the “nutrient depletion theory,” and in a different study that found an association between short IPI and preterm premature rupture of membranes the conclusion was that the findings strengthened either the “cervical insufficiency theory” or a theory regarding the abnormal remodeling of the blood vessels in the endometrium [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Short Interpregnancy Interval Following a Multifetal Pregnancy: Maternal and Neonatal Outcomes

Weiss

Sela

Grisaru‐Granovsky

et al. 2023

JCM

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Objective: To evaluate the maternal and neonatal outcomes of women with short interpregnancy intervals (IPI < 6 months) following a multifetal pregnancy. Study design: A multicenter retrospective cohort study of women with an index multifetal delivery and a subsequent singleton gestation between 2005 and 2021. The obstetrical outcomes of pregnancies following short IPI (<6 months) were compared to those with an IPI of 18–48 months. Additional analyses were also conducted for the other IPI groups: 7–17 months, and longer than 49 months, while women with an IPI of 18–48 months served as the reference group. The primary outcome was preterm birth (<37 weeks) rate. Secondary outcomes were other adverse maternal and neonatal outcomes. Univariate and multiple logistic regression analyses were performed. Results: Overall, 2514 women had a primary multifetal delivery with a subsequent singleton gestation at our medical centers; 160 (6.4%) had a short IPI, and 1142 (45.4%) had an optimal IPI. Women with a singleton gestation following a short IPI were younger, with lower rates of previous cesarean and fertility treatments. Women in the short IPI group had significantly higher rates of preterm birth <37 weeks, anemia (Hb < 11 gr%) on admission to the delivery room, and placental abruption. Multivariable logistic regression analysis demonstrated that short IPI is associated with an increased risk for preterm birth (aOR 2.39, 95% CI 1.12–5.11, p = 0.03). Conclusion: Short IPI following a multifetal gestation is associated with an increased risk for preterm birth in subsequent singleton pregnancy.

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“…Globally, the incidence of PROM is 1-4% of every pregnancy. A pregnancy interval less than 18 months is a risk factor for PROM (Jena et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

Maternal characteristics in obstetric emergency cases at RSUP Dr. M. Djamil Padang

et al. 2022

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The causes of maternal death in West Sumatra Province in 2020 are bleeding at 2.1%, hypertension in pregnancy at 1.5%, infection at 0.9%, metabolic disorders at 0.6% and other causes at 3.5%. Cases of maternal death can be caused by obstetric emergencies. This study aims to describe the characteristics of mothers in obstetric emergencies at comprehensive emergency obstetric and newborn care (EmONC) RSUP Dr. M. Djamil Padang. This study is a descriptive study with a population of obstetric emergency cases at EmONC. hospital. Dr. M. Djamil Padang period May-June 2022. The sample is 108 respondents. The results of this study showed that from 108 respondents there were 23.1% of respondents with a diagnosis of severe preeclampsia, 79.6% of respondents aged 20-35 years, 84.3% of respondents with parity ≤ 2, the last education of respondents was senior high school 43.5%, 26.9% of respondents did not work, 81.5% of respondents did not have a history of non-communicable diseases, and 73.1% of respondents had a sufficient number of antenatal care (ANC) visits. Most patients with obstetric emergency cases at EmONC RSUP Dr. Mdjamil Padang with a diagnosis of severe preeclampsia, age 20-35 years, and the number of ANC visits is sufficient.

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Incidence of preterm premature rupture of membranes and its association with inter-pregnancy interval: a prospective cohort study

Cited by 24 publications

References 32 publications

Perinatal Outcome in Premature Rupture of Membranes (PROM) and Pre-Prom (PPROM)

Perinatal Outcome in Premature Rupture of Membranes (PROM) and Pre-Prom (PPROM)

Short Interpregnancy Interval Following a Multifetal Pregnancy: Maternal and Neonatal Outcomes

Maternal characteristics in obstetric emergency cases at RSUP Dr. M. Djamil Padang

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