STUDY ON AETIOLOGY & RISK FACTORS IN SPONTANEOUS LATE PRETERM PREMATURE RUPTURE OF MEMBRANES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 20
Abstract
BACKGROUND Preterm premature rupture of membranes is the rupture of membranes during pregnancy before 37 weeks’ gestation. It occurs in 3 percent of pregnancies and is the cause of approximately one third of preterm deliveries. It can lead to significant perinatal and maternal morbidity. Appropriate evaluation of aetiology & risk factors helps in preventing PPROM and its related complications. We wanted to study the aetiology and risk factors of PPROM from 34-37 wks. of gestation. This is a descriptive study carried out in the department of obstetrics and gynecology, Hi-Tech Medical College & Hospital, Bhubaneswar. METHODS The present study is a descriptive study of risk factors in 100 cases of preterm premature rupture of membranes between 34-37 weeks’ gestation with singleton pregnancy, from 1st Aug. 2016 to 31st July 2018. Patients with medical complications like anemia, preexisting hypertension, diabetes, vascular or renal disease, multiple gestations, uterine or foetal anomalies etc. were excluded from the study. Detailed history was obtained, physical examination carried out, and appropriate management instituted as per individual patient’s need. RESULTS In this study, the risk-factors of PPROM were low socioeconomic status (67%), age group 21-30 yrs. (84%), primigravida (61%), irregular antenatal care (67%), recent coitus (23%), genital tract infection (21%), E. coli (18%) cases. CONCLUSIONS PPROM is one of the important causes of preterm birth that can result in high perinatal morbidity and mortality along with maternal morbidity. Looking after a premature infant puts immense burden on the family, economy and health care resources of the country. An understanding of risk-factors of PPROM and better antenatal care, can improve maternal and neonatal outcomes.
Authors and Affiliations
Ramakanta Sahoo, Sushreesmita Mohanty
Keywords
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- EP ID EP617735
- DOI 10.14260/jemds/2019/359
- Views 67
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