PROM and it’s maternal outcome: a retrospective study in a rural medical college of India

Malay Sarkar, Tanushree Mondal, Manojit Sarkar


Background: Premature rupture of membrane is the unconstrained break of layer before the beginning of  labor and can happen any gestational age even at 42 weeks of growth. Around 2-30 % of all pregnancy will encounter PROM and prompts 33% of preterm birth. The analysis of PROM is to a great extent clinical and is normally proposed by a history of watery vaginal discharge and affirmed on sterile speculum assessment. This examination was led to decide the occurrence, to discover the age, equality dispersion, gestational age dissemination, presentation of PROM and plan the line of the management.

Methods: The cases selected in this study were those who had spontaneous rupture of membrane after 28 weeks of gestation but before the onset of labor pain. The study period was of one year from 1st January 2019 to 31st December 2019. The study was conducted in the labor room complex of Coochbehar Govt. Medical College and Hospital, WB India. The patients were admitted in the labor room through emergency. All datas were collected from labor room log book.

Results: Total no. of deliveries were 10900 and total no of PROM were 545.Incidence of PROM is 5% in the present study. Maximum no of cases were in the age group between 20-29yr (63%). PROM mainly occurs in primigravida (50.45%). And low rupture of membrane was 91.8%. Cephalic is the commonest presentation (85%) in PROM and the incidence of caesarean section is 24.95%.

Conclusions: PROM is the obstetric emergency and once the PROM is diagnosed it is important to weigh the risk of PROM and prematurity and make the right choice of conservative management and active management. If there is chance of maternal morbidity pregnancy should be terminated considering the maternal wellbeing first and then that of the fetus.


Cephalic, Caesarean section, Low rupture of membrane, Primigravida

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American college of Obstetricians & Gynecologist. Premature rupture of membranes. Practice Bulletin. 2016;172:10.

Gomez R, Romero R, Edwin SS. Pathogenesis of preterm labor & preterm premature rupture of membranes associated with infection. Infect Dis Clin North Am. 1997;11:135.

Gonclaves LF, Chai wora pongsa T, Romero R. Intraamniotic infection & prematurity.Ment Retard Dev Disabil Res Rev. 2002;8:3.

Alexander JM, Mercer BM, Miodovnik M, Thurnan GR, Goldenberg RL, Das AF. The impact of digital cervical examination as expectantly managed Prerterm rupture of membranes. Am J Obstat Gynecol. 2000;183(4):1003-7.

Lee SE, Park JS, Norwitz ER, Kim KW, Park HS, Jun JK. Measurement of placental alfamicro globulin-1 in cervicovaginal discharge to diagnose rupture of membranes. Onstet Gynecol. 2007;109(3):634-40.

Fox NS, Gelber SE, Kalish RB, Chasen ST. Contemporary Practice & beliefs regarding tocolysis among us. maternal foetal Medicine specialists. obstet Gynecol. 2008;112(1)4:41-7.

Kenyan S, Boulvain M, Nelson JP. Antibiotics for preterm rupture of membrane. Cochrane Database Syst Rev. 2013;12:CD001058.

Alexander JM, Cox SM. Clinical course of premature rupture of membranes. Semin Perinatal. 1996;20:369-74.

Duff P. Premature rupture of membrane in term patients. Semin Perinatal. 1996;20:401-8.

Bianco A, Stone J, Lynch L, Lapinski R, Berkowitz RL. Pregnancy outcome of age 40 & older. Obstet Gynecol. 1996;87:917-22.

Chuas, Arulkumaran S, Tay D, Ratnam SS. Does Prostaglandisns confer significant advantage over oxytocin infusion for nulliparous with prelabor rupture of membrane. obstet Gynecol. 1991;27:664-7.

Egans O. Premature rupture of membranes.Am J obstet Gynecol. 1988;101:106-10.

Miller JM Jr, Pupkin MJ, Crenshaw C Jr. Premature labor & Premature rupture of membrane. Am J Obstet Gynecol. 1978;132:1-6.

Johnson JW, Daikoku NH, Niebyl JR, Johnson TR Jr, Khonzami VA, Witter FR. Premature rupture of membranes & prolonged latency. Obstet Gynecol. 1981;57(5):547-56.

Brain M, Mercer BA. Preterm PROM. Obstet & Gynecol. 2003;101:178-93.

Dutta DC. Textbook of obstetrics. Konar H editor 6th ed, Kolkata India. Central Book Agency. 2011;p 628.