Premature rupture of membrane and associated factors among pregnant women admitted to maternity wards of public hospitals in West Guji Zone, Ethiopia, 2021

Diriba, Tesfaye Abebe; Geda, Biftu; Wayessa, Zelalem Jabessa

doi:10.1016/j.ijans.2022.100440

Cited by 5 publications

(3 citation statements)

References 22 publications

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“…In the current study, women with a history of PROM were 3.89 times more likely to develop PROM in their current pregnancy than were those without a history of PROM. The results of this study are supported by studies performed in India, Indonesia, Nigeria, Egypt, and different areas of Ethiopia (16,17,29,[35][36][37][38][39][40][41].…”

Section: Discussionsupporting

confidence: 78%

“…Women who had UTIs had 3.14 times greater odds of having PROM than did their counterparts. Supported results were shown among studies performed in Uganda and Ethiopia (32,33,39). This could be attributed to the fact that bacterial infections in the urinary tract may progress upward through the vaginal and cervical passages, reaching the decidua and fetal membrane.…”

Section: Discussionmentioning

confidence: 81%

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Determinants of premature membrane rupture among mothers receiving labor care at different public hospitals in Northeast Ethiopia: An unmatched case control study

Yosef,

Adissu,

Amare

et al. 2024

Preprint

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Background: Premature rupture of membranes is a painless gush of amniotic fluid resulting from the rupture of membranes through the vaginal canal before the onset of uterine contractions and is responsible for increased perinatal mortality and neonatal morbidity. Therefore, identifying the determining factors is essential for minimizing its adverse impact. Despite the existence of this problem in the study area, there is a gap in identifying the factors affecting its occurrence. Objectives: To assess the determinants of prematuremembrane rupture among mothers who attendedlabor at public hospitals in theNorth Wollo Zone, 2022/23. Methods: An unmatched case‒controlstudy was conducted from December 1, 2022, to March 30, 2023. Three public hospitals were selected through a lottery method, and by proportional allocation, a total of 353 participants (118 cases and 235 controls) receiving labor were recruited. Cases were selected through convenience sampling, while controls were recruited through systematic random sampling. The datawere collected using a structured questionnaire and card review, entered into EpiData 4.6 and analyzed using STATA version 17. Logistic regression was employed to identify determinants, and a P value < 0.05 in multivariable logistic regression was considered to indicate statistical significance. Results: Previous caesarian section (AOR: 2.11; 95% CI: 1.05–4.23), history of abortion (AOR: 3.68; 95% CI: 1.70–7.94), history of premature membrane rupture (AOR: 3.89; 95% CI: 1.73–8.71), chronic cough (AOR: 4.23; 95% CI: 1.47–12.18), mid-upper arm circumference <23 cm (AOR: 3.47; 95% CI: 1.53–7.84), suspected sepsis (AOR: 2.99; 95% CI: 1.25–1.99), and presence of urinary tract infection (AOR: 3.14; 95% CI: 1.50–6.60) were determinants of premature membrane rupture. Conclusions: This study indicated that the aforementioned factors are determinants of premature membrane rupture. Therefore, hospitals need to increasethe proportion of vaginal deliveriesand provide strong advice regarding the complications of abortion. Moreover, early screening, diagnosis, and treatment should be applied for malnutrition, chronic cough, sepsis, and urinary tract infections.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 81%

Determinants of premature membrane rupture among mothers receiving labor care at different public hospitals in Northeast Ethiopia: An unmatched case control study

Yosef,

Adissu,

Amare

et al. 2024

Preprint

View full text Add to dashboard Cite

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“…This is consistent with the research conducted by Takele et al [26] the results of the multivariate analysis showed an AOR: 3.28 (95% CI: 1.53, 7.02), meaning that pregnant women under 37 weeks had a 3.28-fold increased risk of PROM compared to those between 37 and 40 weeks. This research supports the findings of Diriba et al study, which found a correlation between the mother's gestational age and the likelihood of an early membrane rupture with a p-value of 0.018<α (0.05) [16].…”

supporting

confidence: 91%

Factor related to preterm premature rupture of membrane among pregnant women

Sofiana,

Wahyuningsih,

Meilani

2024

IJPHS

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The incidence rate of premature rupture of membranes in Yogyakarta, Indonesia was 10.1%, the highest rate in Indonesia. This study's goal was to determine factors related to premature rupture of membranes among pregnant women in Sardjito Hospital. There were 220 pregnant women, 110 in the premature rupture of membranes or case group and 110 no premature rupture of membranes as control group. Urinary tract infection, anemia, and preterm premature rupture of membrane and the characteristics were the research factors. The Chi-square test and logistic regression were used to examine the data. Secondary data from medical records for the period January 2021 December 2022 was taken. Result of this study showed that 49.1% of the pregnant women in the case group had anemia, and 47.3% had urinary tract infections. In the control group had anemia 30.9% of pregnant women, while urinary tract infections infected 61.8% of them. Urinary tract infections and anemia were associated with a greater incidence of preterm premature rupture of membranes, according to a bivariate analysis with p-values of 0.042 and 0.009 (p-value=0.05). Anemia was the most significant factor associated with the incidence of preterm premature rupture of membranes (OR=2.26).

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Determinants of term premature rupture of membrane: case-control study in Saint Paul’s Millennium Medical College Hospital, Addis Ababa, Ethiopia

et al. 2023

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Background The term premature rupture of the membranes is the rupture of the membranes before the onset of labor beyond 37 weeks of gestation. Several factors, including obstetric, gynecologic, socioeconomic, and medical, are identified as potential risk factors. This clinical event has detrimental maternal and neonatal complications. Objectives This study aimed to investigate the determinants of the term premature rupture of the membranes in Ethiopia. Methods This institution-based unmatched case-control study was conducted on 246 women admitted to Saint Paul’s hospital millennium medical college from October 2019 to January 2020 (82 cases and 164 controls). Data were collected using an interviewer-based questionnaire and data extraction tools, and data were entered using Epi data 3.1 and analyzed using SPSS 20. The association between independent variables and premature rupture of the membrane was estimated using an odds ratio with 95% confidence intervals and P-value < 0.05. Results Factors like a history of vaginal discharge (AOR 3.508;95% CI:1.595.7.716), place of Antenatal care follow-up (health center and Mercy Ethiopia) (AOR 5.174;95% CI:2.165,12.362), the previous history of rupture of membrane (AOR 9.955;95% CI:3.265,20.35), and gestational age (AOR 3.018;95% CI:1.338,6.811) were associated with term premature rupture of membrane. There were more maternal and neonatal complications, including puerperal sepsis, wound infection, anemia/PPH, a hospital stays of more than seven days, clinical amnionitis, neonatal hypoglycemia, early onset neonatal sepsis, and respiratory distress encountered by women who presented with premature rupture of membrane. Conclusion Proper screening, close monitoring, and early interventions in those mothers with identified risk factors would help to reduce its negative consequences. Moreover, the provision of continuous professional skill development and improving the quality of ANC service is needed.

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Premature rupture of membrane and associated factors among pregnant women admitted to maternity wards of public hospitals in West Guji Zone, Ethiopia, 2021

Cited by 5 publications

References 22 publications

Determinants of premature membrane rupture among mothers receiving labor care at different public hospitals in Northeast Ethiopia: An unmatched case control study

Determinants of premature membrane rupture among mothers receiving labor care at different public hospitals in Northeast Ethiopia: An unmatched case control study

Factor related to preterm premature rupture of membrane among pregnant women

Determinants of term premature rupture of membrane: case-control study in Saint Paul’s Millennium Medical College Hospital, Addis Ababa, Ethiopia

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