scholarly journals A study on maternal and perinatal outcome in premature rupture of membranes at term

2017 ◽  
Vol 6 (12) ◽  
pp. 5368 ◽  
Author(s):  
Sailaja Surayapalem ◽  
Vijayalakshmi Cooly ◽  
Bhuvaneswari Salicheemala
Keyword(s):  
Gestational Age ◽  
Maternal Morbidity ◽  
Birth Asphyxia ◽  
Neonatal Morbidity ◽  
Well Being ◽  
Morbidity And Mortality ◽  
Age Group ◽  
Perinatal Morbidity ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture

Background: Premature rupture of membranes is defined as rupture of foetal membranes before the onset of labour. Management of cases of PROM still remains as one of the most difficult and controversial problems in obstetrics. PROM can cause maternal complications like chorioamnionitis, increased operative procedures, puerperal sepsis and neonatal morbidity and mortality. The present study is undertaken to study the labour outcome, maternal morbidity and perinatal morbidity and mortality in term PROM.Methods: 200 Cases of spontaneous rupture of membranes with gestational age >37 weeks with confirmed PROM by a speculum examination were selected. A detailed history was taken, and gestational age confirmed, general, systemic and obstetric examinations were done. Parameters of maternal and foetal well being were recorded. All study groups received prophylactic antibiotics. Single pelvic examination done, and maternal vitals recorded fourth hourly. All the data was analyzed and statistical significance was calculated using Chi-square test.Results: PROM was common in age group of 20-24 years (35%) with mean age of 22.6 years and SD of 2.8 years, and common in primigravida. Majority of women were admitted within six hours of PROM (41.5%) and Mean duration of induction to delivery interval was 12.9 hours. The mean duration between PROM to delivery was 20.2 hours which was statistically significant. Cesarean sections were more among primigravidas. Failure to progress was the common indication. Maternal morbidity was significant (17.5%). No maternal mortality in the study. Perinatal mortality was 1.5%. Birth asphyxia was the commonest cause. Perinatal morbidity was seen in 26%. Escherichia coli was common organism found in cervical swab culture.Conclusions: In present study, majority was primigravidas and the most common age group was 20-24 years belonging to low socioeconomic status. Maternal morbidity and neonatal morbidity was associated with increased duration of PROM to delivery and infection of the female genital tract with pathogens. Hence an appropriate and accurate diagnosis of PROM is essential for favorable outcome in pregnancy.

scholarly journals Preterm premature rupture of membranes: maternal and perinatal outcome

2018 ◽  
Vol 7 (11) ◽  
pp. 4499
Author(s):  
Shweta Avinash Khade ◽  
Amarjeet Kaur Bava
Keyword(s):  
Maternal Morbidity ◽  
Care Center ◽  
Tertiary Care ◽  
Maternal Outcome ◽  
Morbidity And Mortality ◽  
Perinatal Morbidity ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Singleton Pregnancy ◽  
Preterm Premature Rupture

Background: This is an observational analytical study carried out in department of obstetrics and Gynecology, in a tertiary care center to determine the factors influencing fetal and maternal outcome, prognosis and complications in preterm premature rupture of membrane cases.Methods: The present study is a prospective observational study of perinatal and maternal outcome in 100 cases of preterm premature rupture of membranes in between 2837 weeks gestation with singleton pregnancy, from 1st March 2013 to 28th February 2014. Patients with medical complications like anemia, preexisting hypertension, diabetes, vascular or renal disease, multiple gestations, uterine or fetal anomalies etc. are excluded from the study. Detailed history, physical examinations were carried out and appropriate management instituted as per individual patients need.Results: In this study maternal morbidity was 16%. Perinatal morbidity was 33% and most common causes were hyperbilirubinemia (23%), RDS (21%).  Perinatal mortality was seen in 15% and mainly due to RDS (53%). Twenty-five (25%) neonates were delivered by cesarean. The main indications for cesarean being malpresentation (36%) followed by fetal distress (24%).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 gestational age dependent neonatal morbidity and mortality is important in determining the potential benefits of conservative management of preterm PROM at any gestation.

scholarly journals Ketuban pecah dini dan tatalaksananya

2019 ◽  
Vol 19 (3) ◽  
Author(s):  
Mohd. Andalas ◽  
Cut Rika Maharani ◽  
Evans Rizqan Hendrawan ◽  
Muhammad Reva Florean ◽  
Zulfahmi Zulfahmi
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Preterm Delivery ◽  
Morbidity And Mortality ◽  
Perinatal Morbidity ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Diagnosis And Management

Abstrak. Ketuban Pecah Dini (KPD) atau Premature rupture of Membranes (PROM) merupakan pecahnya ketuban yang terjadi sebelum proses persalinan. Ketuban pecah dini terjadi sekitar 1% dari seluruh kehamilan. Ketuban pecah dini menyebabkan terjadinya 1/3 persalinan preterm dan merupakan penyebab 18%-20% dari morbiditas dan mortalitas perinatal. Dalam laporan kasus ini kami melaporkan seorang ibu hamil berusia 35 tahun, gravida 3, hamil aterm dengan ketuban pecah dini, keluhan keluar air dari jalan lahir dan belum inpartu. Laporan kasus ini bertujuan untuk meningkatkan kualitas diagnosa dini serta penatalaksanaan ketuban pecah dini untuk mengurangi risiko bagi ibu dan janin. Abstract.Premature Rupture of Membranes (PROM) is the rupture of amniotic sac prior to the onset of labor beyond 37 week of gestation. Premature Rupture of Membranes occurs in 1% ofall pregnancies. Premature Rupture of Membranes causes 1/3 preterm delivery and a major  18%-20% cause of perinatal morbidity and mortality. In this case report we reported a 35 year old woman with pregnant 3rd child, aterm wiht Premateur rupture of Membrane (PROM) and prior to labor. This report aims to improve the quality of early diagnosis and management of premature rupture of membranes to reduce the risk for the mother and fetus. 

STUDY OF MATERNALAND PERINATAL OUTCOME IN CASES OF PRETERM PREMATURE RUPTURE OF MEMBRANES

2021 ◽  
pp. 11-14
Author(s):  
Madhuri Rani ◽  
Kumudini Jha ◽  
Debarshi Jana
Keyword(s):  
Perinatal Outcome ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Preterm Births ◽  
Perinatal Morbidity ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Tertiary Care Centre ◽  
Singleton Pregnancy ◽  
Preterm Premature Rupture

Background: Preterm premature rupture of membranes (PPROM) occurs in 3%to6% of pregnancies and is responsible for approximately one third of all preterm births. Aims & Objective: of present study was to analyse the maternal and perinatal outcome of PPROM patients between 28 to 36 weeks +6days admitted in labour room of obs and gynae dept. of DMCH from January 2019 to April 2020. Material and Methods: It is hospital based prospective observational study of 100 patients of preterm premature rupture of membranes in between 28-36 weeks+6 days gestation with singleton pregnancy admitted in our tertiary care centre (Department of Obstetrics and Gynaecology, DMCH, Laheriasarai, Bihar). Results: In this study 42% patients went into spontaneous labour and 58% needed induction or augmentation. 68% patients had vaginal delivery and 23% required LSCS. The main indications for LSCS being malpresentation (26%) followed by foetal distress (22%). There was no maternal mortality; morbidity was found in 15% patients. Perinatal morbidity was seen in 40% and was mainly due to RDS, sepsis andhyperbilirubinaemia . Perinatal mortality was seen in 17% and was due to sepsis in 29.4%, RDS in 52.94% and birth asphyxia in 17.6%. Conclusion: PPROM is one of the important causes of preterm birth that can result in high perinatal morbidity & mortality along with maternal morbidity. Looking after a premature infant puts immense burden on the family, economy and health care resources of the country. Therefore management of PPROM requires accurate diagnosis and evaluation of the risks and benets of continued pregnancy or expeditious delivery. An understanding of gestational age dependent neonatal morbidity and mortality is important in determining the potential benets of conservative management of preterm PROM at any gestation

scholarly journals Study of Fetomaternal Outcome in Premature Rupture of Membranes in Pregnancy More Than 34 Weeks

2020 ◽  
Vol 11 (4) ◽  
pp. 6136-6143
Author(s):  
Amruta Choudhary ◽  
Sudha Rani ◽  
Gunchoo Kundi ◽  
Arpita Jaiswal
Keyword(s):  
Prospective Observational Study ◽  
Neonatal Morbidity ◽  
Tertiary Hospital ◽  
Morbidity And Mortality ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Maternal Complications ◽  
Exclusion Criteria ◽  
Neonatal Complications ◽  
Timely Referral

Premature rupture of membranes (PROM) affects approximately 10% of pregnant women. PROM, when unattended or mismanaged may lead to severe maternal and neonatal complications. The present study aims to study the subsequent course of pregnancy and evaluate the maternal, and neonatal morbidity and mortality in PROM patients admitted in our hospital. To study the outcome of PROM and assess the maternal and perinatal morbidity and mortality. It was a prospective observational study. All the patients of PROM admitted in hospital and considered based on inclusion and exclusion criteria were included in the study. They were induced with either oxytocin or misoprostol depending on their Bishops score. In the group of patients, where PROM delivery interval >18 hours were found to have more maternal complications like puerperal sepsis, chorioamnionitis, wound gape, paralytic ileus, and more neonatal complications like jaundice, sepsis. In our study, maternal morbidity was directly related to the PROM delivery interval. Thus, women diagnosed with PROM should be hospitalised early or referred early to tertiary hospital and actively managed and followed up till delivery. Timely referral and timely intervention can further improve perinatal outcome.

scholarly journals HUBUNGAN FAKTOR-FAKTOR USIA IBU, PARITAS, UMUR KEHAMILAN, DAN OVER DISTENSI DENGAN KEJADIAN KETUBAN PECAH DINI DI RUMAH SAKIT YOGYAKARTA

2019 ◽  
Vol 7 (2) ◽  
pp. 137-142
Author(s):  
Budi Rahayu
Keyword(s):  
Gestational Age ◽  
Maternal Age ◽  
Sampling Technique ◽  
Neonatal Morbidity ◽  
Bivariate Analysis ◽  
P Value ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Control Approach ◽  
The Impact

Background: Premature rupture of membranes (PROM)is a rupture of membranes before any signs of labor and awaited before the labor occurs. The problem of PROM is a major obstetric issue, because the impact of PROM is an infection in the maternal and ends in an increased incidence of cesarean section due to a failed normal childbirth and neonatal. Factors that causePROMitself is not known for certain, but if we know earlier about the predisposing factors of PROM preventive efforts will be more helpful and reduce maternal and neonatal morbidity and mortality. Objective: Relationship of maternal age, parity, gestational age, and over distention with incidence of premature rupture of membranes in Yogyakarta Hospital. Research Of Method: This research uses retrospective study approach with data focus case control approach. The case population in this research is all maternal mothers who experience premature rupture of membranes in RSUD Yogyakarta in 2017 obtained from medical record. Sampling technique is by total sampling with the number of 427 respondents. Data analysis used is bivariate analysis. Result: Parity has nothing to do with the incidence of premature rupture of membranes due to the value of p value 0.142> 0.05, with the OR value of 0.814. Age of pregnant women has nothing to do with the incidence of premature rupture of membranes because the value of p value 0.671> 0.05, with the value of OR 1.062. Age pregnancy has nothing to do with the incidence of premature rupture of membranes because the value of p value 0.288> 0.05, with OR 1,207 nialai. Uterine overdistesi has nothing to do with the incidence of premature rupture of membranes due to the p value of 0.571> 0.05, with the value of OR 1.240. Conclusion: There is no relationship between maternal age, parity, gestational age, and overdistence with premature rupture of membranes in Yogyakarta Hospital. Keywords: Maternal age, Parity, Age of Pregnancy, Overdistence, and premature rupture of membranes (PROM)

scholarly journals Maternal and fetal outcome in premature rupture of membrane

2021 ◽  
Vol 8 (3) ◽  
pp. 328-333
Author(s):  
Ankita Kasliwal ◽  
Itika Kabra ◽  
Poonam Yadav
Keyword(s):  
Maternal Morbidity ◽  
Febrile Illness ◽  
Neonatal Infection ◽  
Fetal Outcome ◽  
Intervention Strategies ◽  
Perinatal Morbidity ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Interval Prediction ◽  
Risk Pregnancy

: Premature rupture of membranes is the most challenging obstetric dilemma which occurs even in low risk pregnancies and can convert a traditional pregnancy into a high risk pregnancy. This study aims to determine outcome, especially in the context of developing countries to help in formulating intervention strategies. : A hospital based observational, prospective study was conducted with 100 patients with diagnosis of PROM at or more than 37 weeks of gestation to study maternal and fetal outcome.: The rate of maternal morbidity was 28%, commonest cause was febrile illness (12%). Perinatal morbidity was seen in 31% of cases. Clinical early onset neonatal infection was the commonest cause. Perinatal mortality was not seen.: Morbidities were associated with increased duration of PROM to delivery interval. Prediction of these morbidities is an important step in the management of infection associated with PROM.

scholarly journals Study of maternal and fetal outcomes in premature rupture of membrane in central rural India

2017 ◽  
Vol 6 (4) ◽  
pp. 1409
Author(s):  
Arpita A. Jaiswal ◽  
C. Hariharan ◽  
Deepika K. C. Dewani
Keyword(s):  
Early Onset ◽  
Maternal Morbidity ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Central India ◽  
Neonatal Infection ◽  
Care Hospital ◽  
Perinatal Morbidity ◽  
Premature Rupture ◽  
Fetal Outcomes

Background: Premature rupture of membrane is linked to significant maternal prenatal mortalities and morbidity. The maternal and fetal outcomes in PROM is very important to decrease maternal and child mortality and for better management and prevention of complications. Thus, this study aimed to detect the maternal and fetal outcomes in patients with PLROM at tertiary care hospital in central rural India.Methods: This prospective study was conducted in Department of obstetrics & Gynecology, in a tertiary care institute located in central India, over a period of 18 months. 210 patients were diagnosed with PLROM and all of them were included in the study. The data of these women were collected using a checklist based on registration books.Results: The rate of maternal morbidity was 26%, commonest cause was clinical chorioamnionitis (11.9%) followed by febrile illness seen in 10.5%. No maternal mortality was seen in the study. Perinatal morbidity was seen in 30% of cases. Clinical early onset neonatal infection was the commonest cause for perinatal morbidity noticed in 23.8% of cases (50 out of 210). Perinatal mortality observed was 1.43% (3 out of 210). Birth asphyxia being the commonest cases of mortality.Conclusions: Major maternal morbidity is chorioamnionitis (11.9%). Major perinatal morbidity observed is early onset neonatal infection (24%).

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