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VOL. 7, ISSUE 10 (2021)
Preterm prelabour rupture of membranes (PPROM) and its maternal and perinatal outcome
Authors
Jesmen Jahan, Jannatul Ferdous, Saria Nafia, Salma Hossain, Rebecca Akhter
Abstract
Background: The leading cause of perinatal morbidity and mortality is prematurity in developed and underdeveloped countries. In one-third of the patients with preterm labour, there is associated premature rupture of membranes. The study was conducted to evaluate the clinical presentation of Pre-labour Rupture of Membrane (PROM) in pregnancy and obstetric outcome. Objective: The aim of the study to observe the maternal and perinatal outcome in preterm prelabour rupture of membranes. Method: The present study was a prospective observational study of perinatal and maternal outcome in 130 cases of preterm premature rupture of membranes in between 28-37 weeks gestation with a singleton pregnancy, from April 2011 to September 2011. 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 was instituted as per individual patients need. Statistical analysis of the results was obtained by using window-based computer software devised with Statistical Packages for Social Sciences (SPSS-22). Results: It was revealed that 25.38% subjects were suffered from puerperal sepsis, 13.07% from PPH, 11.58% subjects had wound infections, 17.70% from Chorioamnionitis. A large group (55.38%) of subjects had a hospital stay for more than 7 days. It was observed that 95.77% babies were premature. Low birth weight was prevailed as 80.28%, 27.46% had foetal deformity, 32.69% was suffered from neonatal jaundice, 18.30%% from neonatal infection, 28.83% had neonatal asphyxia, 08.43% from respiratory distress syndrome. Among 142 baby’s foetal death occurred in 17 cases. Conclusion: PPROM is very often seen in obstetric ward. From the findings of this study, it can be concluded that maternal and foetal complications are likely to be more common in PPROM. Therefore, proper management and care might be necessary to reduce maternal and foetal complications.
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Pages:15-18
How to cite this article:
Jesmen Jahan, Jannatul Ferdous, Saria Nafia, Salma Hossain, Rebecca Akhter "Preterm prelabour rupture of membranes (PPROM) and its maternal and perinatal outcome ". International Journal of Medical and Health Research, Vol 7, Issue 10, 2021, Pages 15-18
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