Maternal and Perinatal Outcome of Preterm Premature Rupture of Membrane
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 4
Abstract
Background; preterm premature rupture of membrane is associated with significant risks of maternal and perinatal morbidity and mortality, therefore the suitable decision play an important role in the management of this complication aiming to decrease maternal and fetal risks. Objective; to evaluate the prevalence and outcome of pregnancies complicated by preterm premature rupture of membrane in terms of maternal morbidity, perinatal morbidity and mortality. Methodology; during the study period 78 patients who had prolonged preterm premature rupture of membrane more than 24 hours at 24 to 36 weeks of gestation and received medical care at Misurata Teaching Hospital. Results; the prevalence was 1.2% and the mean gestational age at the onset of membrane rupture and delivery was 33.2 ± 2.9 weeks and 34.9 ± 2.7 weeks, respectively. Maternal morbidity included placental abruption, chorioamnionitis, and postpartum hemorrhage. The majority of the mothers were delivered vaginally while 25.6% delivered by Cesarean section, 21.4% of the neonates had neonatal sepsis. Conclusion; expectant management is a favorable to achieve fetal maturity and improve perinatal outcome of preterm premature rupture of membrane as survival rate is significantly increased with gestational age at time of diagnosis and birth weight with.
Authors and Affiliations
Fatheia Elrishi
Keywords
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