Preterm Prelabour Rupture of the Membrane &amp; Feto-Maternal out come: an Observational Study

Akter, Saleha; Akter, Romana; Rashid, Maliha

doi:10.3329/jbcps.v28i1.4639

Cited by 19 publications

(39 citation statements)

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“…2 Triniti et al also reported the mean age of 29.8±7.2 years among patients with preterm premature rupture of membranes. 10 In this study PPROM was present in 50.1% of patients in the age group 21-30 years and the mean age was 26.3±6.9 years, which was comparable with the above studies.…”

Section: Discussionmentioning

confidence: 99%

“…In this study 61.1% were multigravida and 38.9% were primigravida which was comparable with study by Akter at al (multigravida 62% primigravida 38%). 2 Highest number of cases (56.3%) of PPROM occurred near to term (34-0 to 36-6weeks). The mean gestational age at the onset of membrane rupture was 34.1±2.4 weeks This was comparable with the study by Akter et al which showed 66% of cases of PPROM between 35-37 weeks of gestation and mean gestational age of 34.74±2.27weeks.…”

Section: Discussionmentioning

confidence: 99%

“…This was not comparable with the study by Akter et al which shows unbooked cases as 90%. 2 Multiparity is a risk factor for PPROM due to long standing infection, previous trauma to cervix and patulous os. In this study 61.1% were multigravida and 38.9% were primigravida which was comparable with study by Akter at al (multigravida 62% primigravida 38%).…”

Section: Discussionmentioning

confidence: 99%

“…Recurrence of PROM may occur in 20% cases. 2 PPROM is very common in the obstetric wards. We face problem in diagnosis, monitoring and adopting treatment policy.…”

Section: Introductionmentioning

confidence: 99%

“…5 Education plays a significant role in reducing the risk of PROM especially in developing countries. 2 Preterm PROM is an important cause of perinatal morbidity and mortality, particularly because it is associated with brief latency from membrane rupture to delivery, perinatal infection, and umbilical cord compression due to oligohydramnios.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Analysis of risk factors, maternal and fetal outcome of spontaneous preterm premature rupture of membranes: a cross sectional study

Mohan

Thippeveeranna

Singh

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONPremature rupture of membranes (PROM) is defined as spontaneous membrane rupture that occurs before the onset of labour. When spontaneous membrane rupture occurs before 37 weeks gestation, it is referred to as preterm premature rupture of membranes (PPROM). 1PPROM complicates approximately 2%-3% of all pregnancies below 37 weeks gestation.2 P PROM complicates one-third of preterm births and is responsible for significant perinatal morbidity and mortality, largely related to prematurity. 3There are numerous risk factors for PPROM, such as physiologic changes, intrauterine infection at early gestational age, lower socioeconomic status of pregnant women, inadequate prenatal care and inadequate nutrition during pregnancy, sexually transmitted infections, ABSTRACTBackground: Preterm premature rupture of membranes (PPROM) is one of the most common complications of pregnancy. It is an important cause of perinatal morbidity and mortality. Objective of present study was to determine incidence, risk factors, maternal, fetal outcome of PPROM occurring in patients attending a tertiary hospital in North Eastern India.Methods: This descriptive cross-sectional study was carried out in the department of Obstetrics and Gynecology, Regional Institute of Medical Sciences, Imphal, India. Out of 15,969 deliveries between July 2010 to December 2011, 358 pregnant patients with spontaneous preterm premature rupture of membranes from 28-0 to 36-6weeks gestation were reviewed. After excluding patients with uterine anomalies, intrauterine deaths and congenital anomalies 293 patients were included and evaluated in this study. Results:The incidence of PPROM was 2.2%. Out of 293 patients 86% were singleton pregnancies, 12.9% were twins and 1.02% were triplets. 48.4% had previous history of termination of pregnancy, 28.6% history of previous PPROM and 16.3% had urinary tract infection. The mean gestational age at the onset of membrane rupture was 34.1+2.4 weeks and the latency from the membrane rupture to delivery interval ranged from 0-72 days with a mean of 48.4 hours. There were 7stillbirths (2.38%) and 4 neonatal deaths (1.02%) resulting in perinatal deaths of 3.29% and perinatal mortality rate of 0.329 per 1000 births due to PPROM. Maternal morbidity was minimal with postpartum haemorrhage in 11 patients (4.1%), abruptio placentae in 7 patients (2.3%) and sepsis in 43patients (14.6%). 66 patients (22.5%) underwent caesarean section for which malpresentations were the major cause. Conclusions: Despite remarkable advances in perinatal care, preterm premature rupture of membranes continues to cause perinatal morbidity and mortality. Strategies should be developed for its prevention. Management protocol should be improved in regard to vaginal swab culture and use of specific antibiotics.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Recurrence of PROM may occur in 20% cases. 2 PPROM is very common in the obstetric wards. We face problem in diagnosis, monitoring and adopting treatment policy.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Analysis of risk factors, maternal and fetal outcome of spontaneous preterm premature rupture of membranes: a cross sectional study

Mohan

Thippeveeranna

Singh

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Pre-labor rupture of membranes and associated factors among pregnant women admitted to the maternity ward, Northwest Ethiopia

Telayneh

Ketema²,

Mengist³

et al. 2023

PLOS Glob Public Health

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Pre-labor rupture of membranes (PROM) is the rupture of fetal membranes before the onset of labor. PROM is found in 3–15% of all pregnancies and 30–40% of preterm labor worldwide. The most serious complications are neonatal and prenatal mortality, which is higher in Africa, including Ethiopia. Despite a paucity of evidence on the magnitude and factors affecting PROM after 28 weeks of gestation but before the onset of labor (including both term and preterm PROM). Hence, the purpose of this study was to determine the magnitude and identify associated factors of the pre-labor rupture of membranes. An institutional-based cross-sectional study was conducted among 315 pregnant women from April 10, 2019 to June 30, 2019 at Debre Markos Referral Hospital. The samples were chosen using a systematic random sampling method among admitted pregnant women. The data were entered using EpiData entry version 4.2 and cleaned and analyzed using Stata/SE version 14.0. In binary logistic regressions, variables with a p-value <0.20 are selected for multivariable analysis. A multivariable logistic regression model with a 95% confidence interval and a p-value <0.05 was used to identify associated factors. In this study, the magnitude of PROM was 19%. Maternal monthly income ≤1000 birr [AOR: 3.33 (95%CI: 1.33, 8.33)], gestational age <37weeks [AOR: 3. 28 (95%CI: 1.53, 7.02)], multiple pregnancy [AOR: 4.14 (95%CI: 1.78, 9.62)], polyhydramnios [AOR: 5.06 (95%CI: 2.28, 11.23)] and history of abnormal vaginal discharge [AOR: 6.65 (95%CI: 2.62, 16.72)] were found significant associated factors. In conclusion, the magnitude of the pre-labor rapture of the membranes was higher than in previous studies. Hence, health professionals should strengthen counseling, early diagnosis, and treatment of infections, as well as focus on women with pregnancy-related risks, to reduce pre-labor rupture of membranes and improve fetal and perinatal health.

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Safety of prolonged latency in preterm prelabor rupture of membranes

Chhabra¹,

Kalra²

2018

IPCB

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Preterm prelabor rupture of the membranes (PPLROM) reported to be occurring in 1-5% pregnancies, 1-6 is known to cause 30-40% preterm births. 7-10 And preterm births after PPLROM have been reported to be responsible for around 85% of neonatal morbidity and mortality 11,12 because of consequences like, respiratory distress syndrome (RDS), hypothermia, hypoglycemia, jaundice, necrotizing enterocolitis, intraventricular hemorrhage, neurologic impairment, retrolental fibroplasia, bronchopulmonary dysplasia, patent ductus arteriosus, fetal limb contracture, pulmonary hypoplasia and neonatal sepsis. The list is long. Final outcome is affected by gestational age, latency and many other factors. So research needs to continue for knowing causes of PPLROM, prevention and best management practices. Objectives Present study was carried out to know the outcome in cases of PPLROM with prolonged conservative management. Material methods Study was done at a rural referral institute. Women of 18 to 34years of age who presented between 28weeks to less than 37weeks with watery discharge were the study subjects. Exclusion criteria were diagnosed genitourinary renal anomalies in baby, known placenta praevia, term pregnancy, vaginal bleeding, active labor and fetal distress at admission. Institute's ethic's committee's approval and informed consent were taken. Demography of the study subjects and pregnancy outcome were recorded with the pre-designed tool. After taking history, general, systemic and spaculam examination were done in each case with all aseptic precautions to observe pooling of liquor. Additionally Nitrazine test and fern test were done for confirmation of PPLROM. Cervical and high vaginal swabs were cultured for microbes. Women were put on conservative management. Corticosteroids, tocolytics and antibiotics were given at admission with plans to observe mother and baby till term and then induce labour. Antibiotics were changed as per the sensitivity of microbes in the swabs which were similar in cervical/vaginal swabs. Any adverse situations, possibility of preterm spontaneous labour or need

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Preterm Prelabour Rupture of the Membrane & Feto-Maternal out come: an Observational Study

Cited by 19 publications

References 4 publications

Analysis of risk factors, maternal and fetal outcome of spontaneous preterm premature rupture of membranes: a cross sectional study

Analysis of risk factors, maternal and fetal outcome of spontaneous preterm premature rupture of membranes: a cross sectional study

Pre-labor rupture of membranes and associated factors among pregnant women admitted to the maternity ward, Northwest Ethiopia

Safety of prolonged latency in preterm prelabor rupture of membranes

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