European Journal of Biomedical and Pharmaceutical Sciences

STUDY OF RISK FACTORS AND FETO-MATERNAL OUTCOMES IN PREMATURE RUPTURE OF MEMBRANE (PROM): A SINGLE CENTRE PROSPECTIVE OBSERVATIONAL STUDY

Dr. Shital U. Lad*, Dr. Umesh P. Lad, Dr. Mangala A. Shinde

ABSTRACT

Introduction: Premature rupture of membrane (PROM) is a common obstetrics problem and one of the most common clinical condition which can turn a traditional pregnancy in to a high-risk pregnancy. This study was conducted to study aetiology and feto-maternal outcome of PROM in our tertiary care teaching institute. Methods and Material: In this study 150 cases were enrolled as per the inclusion and exclusion criteria of the study protocol. Detailed obstetrics history was taken, cases were managed as per the clinical indications and set protocols outcome was recorded using the proforma and statistically analysed. Results: Incidence of PROM in our study is 8.5%. Reported incidence was more in primigravida (64.6%) and Gestational age more than 36 weeks. Though etiology is idiopathic (52%) some major associated risk factors were Infection (22.7%), History of PROM in previous pregnancy (14.6%) history of coitus (9.4%) were the major risk factors. 62% cases were delivered vaginally and 36% needed LSCS. Purpureal pyrexia and wound infection were the two major maternal complications followed by PPH and Chorioamnionitis. 8 % cases Respiratory Distress and only 4.6 % cases suffered from Birth asphyxia. Conclusion: PROM is a common obstetric condition, early intervention and timely treatment leads to better feto-maternal outcomes.

Keywords: PROM, Birth asphyxia, feto-maternal outcomes.