Premature Rupture of Membranes-Clinico Epidemiological Perspective
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 12
Abstract
Background: Aim of the study is to compare demographic data, study the outcome of pregnancy in patients with Premature Rupture of Membranes (PROM) and establish correlation between latency of PROM with outcome of pregnancy, maternal & neonatal complications. Material and Method: A hospital based prospective study was conducted from 01 Jan 2015 to 30 June 2016 on 209 cases of spontaneous premature rupture of membranes, in the Department of Obstetrics and Gynecology, Index Medical College Hospital & Research Centre, Indore. Pregnant women, who presented with spontaneous premature rupture of membrane before onset of labor pains, were actively managed, by induction of labor, and those in labor were managed accordingly with single dose of prophylactic antibiotic. Mode of delivery and indication of CS along with maternal and neonatal outcome were recorded. The results were statistically analyzed regarding their correlation with latency with mode of delivery, perinatal morbidity and mortality and maternal morbidity. Results: The mean age in our study was 23.13 ± 3.31 years, with (67%) women were from rural area, 48.3% were booked and 62.7% was primigravida. In majority of the women, the latency period was between 0-6 hours (i.e. 43.5%). In 87 (41.6%) women the mode of delivery was LSCS, in 107 (51.2%) mode of delivery was normal delivery. Most common indication for LSCS was fetal distress in 52 (59.8%), Sepsis (7.7%) and meconium aspiration syndromes (4.8%) were the most common neonatal complications observed. Urinary tract infection was the most common maternal complications seen in our study, followed by sepsis and chorioamnionitis. Statistically significant association of latency period was found with mode of delivery, neonatal complication and puerperal complications (P < 0.05) Conclusion: PROM is a major cause for increased perinatal morbidity and mortality. As prevention of PROM is difficult due to obscurity of aetiology, one has to concentrate more on management of PROM to reduce its complications. To achieve this, proposed plan of "Aggressive management “that gives a high rate of successful vaginal deliveries and decreases the maternal and neonatal morbidity and mortality.
Authors and Affiliations
Vinita Agrawal
Keywords
Related Articles
- EP ID EP210302
- DOI -
- Views 78
- Downloads 0
Optimal parameters for Gene Xpert MTB/RIF and LAM Strip determine Test for Diagnosis of Tuberculosis using urine from HIV patients at Moi Teaching and Referral Hospital, Kenya
The application of Gene Xpert MTB/RIF® assay for testing non-sputum clinical samples in Western Kenya has not been reported. We are reporting on use of Zn, CD4 count, Hb, Creatinine, Proteinuria, and Hematuria as optimal...
Alcohol Use Disorders among Participants of a Community Outreach in Jos, Nigeria: Prevalence, Correlates and ease of acceptance of Brief Intervention
Background: Screening and Brief intervention though shown to be effective at identifying alcohol problems at an early age is not routinely offered in community medical services. This study aimed at getting the prevalence...
Hypoplastic Right Heart Syndrome is a Rare Disorder – Case Report
Hypoplastic Right Heart Syndrome (HRHS) is a condition that is even more rare than Hypoplastic Left Heart Syndrome (HLHS). HRHS refers to the underdevelopment of the right side structures of the heart, which means that t...
Clinical Study of Intra Uterine Fetal Death
Abstract
Bacteriological Profile of Urinary Tract Infections in General Medicine Ward in a Tertiary Care Hospital and its Antibiotic Sensitivity
Urinary tract infections(UTI) is the most common bacterial infection prevalent in both males and females and contribute to second most common nosocomial infection raising the hospital stay, morbidity and mortality. Ureth...