An analysis of factors affecting the duration of latency period in patients with pre term premature rupture of membranes in a tertiary care centre

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

Download Full-text

CLINICO-MICROBIOLOGICAL PROFILE AND FETO-MATERNAL OUTCOME IN PRETERM PREMATURE RUPTURE OF MEMBRANES: A 1YEAR PROSPECTIVE, TERTIARY CARE SINGLE-CENTRE STUDY.

10.36106/ijar/3709943 ◽

2020 ◽

pp. 5-7

Author(s):

Shridevi Metgud ◽

Ramita Malla ◽

Sharada Metgud

Keyword(s):

Tertiary Care ◽

Preterm Births ◽

Obstetric Outcome ◽

Premature Rupture Of Membranes ◽

Premature Rupture ◽

Tertiary Care Centre ◽

Vaginal Infections ◽

Preterm Premature Rupture ◽

Single Centre Study ◽

Nicu Admission

Background- The global burden of premature babies is mostly contributed by preterm births. Preterm premature rupture of membranes (PPROM) account for nearly 40% of all preterm deliveries. Objective-The study was done to evaluate the clinic-bacteriological prole and the obstetric outcome in pregnancies complicated by preterm premature rupture of membranes. Material and methods-This was a prospective cohort study of cases of PPROM admitted in the teaching hospital which is a major referral tertiary care centre. A total of 64 women were enrolled. We studied the patient demographics, bacterial prole and obstetric outcome in these women. Results-Most of the cases of PPROM were seen in low risk primigravidae. Infections were the commonest cause for PPROM. Enterococcus Faecalis was the most commonly isolated organism. The mean latent period was 3-7 days. Most women delivered vaginally. Respiratory distress and low birth weight with Apgar <6 were the common indications for NICU admission. Co-relation between TLC and hs-CRP levels was not statistically signicant across different groups. Conclusion- Effective screening for cervico-vaginal infections in pregnancy and appropriate antibiotic therapy will help reduce infection related feto-maternal morbidity and mortality. Lesser gestational ages are associated with poorer outcome.

Download Full-text

Factors affecting the latency period in patients with preterm premature rupture of membranes

Archives of Gynecology and Obstetrics ◽

10.1007/s00404-010-1448-7 ◽

2010 ◽

Vol 283 (4) ◽

pp. 707-710 ◽

Cited By ~ 21

Author(s):

Gidon Test ◽

Amalia Levy ◽

Arnon Wiznitzer ◽

Moshe Mazor ◽

Gershon Holcberg ◽

...

Keyword(s):

Latency Period ◽

Premature Rupture Of Membranes ◽

Premature Rupture ◽

Factors Affecting ◽

Preterm Premature Rupture

Download Full-text

Factors affecting breastfeeding techniques among postnatal mothers: an experience in a tertiary care centre

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20192840 ◽

2019 ◽

Vol 6 (7) ◽

pp. 2991

Author(s):

Shubhra Agarwal Gupta ◽

Mini Sharma ◽

Abha Ekka ◽

Nirmal Verma

Keyword(s):

Tertiary Care ◽

Mode Of Delivery ◽

Delivery Mode ◽

Care Centre ◽

Interventional Study ◽

Tertiary Care Centre ◽

Factors Affecting ◽

Number Of Factors ◽

Lactating Mothers ◽

Postnatal Mothers

Background: Large number of factors related to mother and neonates can affects breastfeeding technique. Therefore, the main objective of this study was to know the association of maternal and neonatal characteristics that can affect correct breastfeeding techniques after intervention among post natal mothers admitted in a tertiary care centre.Methods: An institutional-based pre and post interventional study design was used. 414 lactating mothers were contacted during study period.Results: It was found that parity, time of delivery, mode of delivery, birth weight were statistically significantly associated with correct breast feeding technique.Conclusions:This study highlights that correct breastfeeding technique depends on various factors related to mother and neonate.

Download Full-text