DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20202739

A study of maternal outcome in term premature rupture of membranes in a tertiary care hospital

Aayushi Jain, Mohini Paul

Abstract


Background: Premature rupture of membranes (PROM) remains a subject of great clinical relevance. The present study was conducted to study maternal morbidity and its relationship with PROM-delivery interval in patients with term PROM as compared to patients without PROM.

Methods: A prospective case control study was conducted in the department of obstetrics and gynecology, Kasturba Hospital, New Delhi. 100 pregnant patients presenting to the labor room with features of PROM at term (POG>37 weeks) were taken as cases and 100 term pregnant women (age and parity matched) with intact membranes were taken as controls and compared in terms of maternal outcome.

Results: This study reported maternal morbidity rate of 21% in term PROM cases which was significantly higher than in control group (5%). The major cause was febrile morbidity which occurred in 16% of cases indicating ascending infection. Other complications were abdominal and episiotomy wound infection (4%), chorioamnionitis (2%), postpartum hemorrhage (2%) and puerperal sepsis (1%). There was an increased rate of operative delivery in the case group (33%) as compared to 18% in patients without PROM. Duration of PROM-delivery interval had a significant direct proportional impact on the maternal morbidity. The duration of combined hospital stay of mother and neonate was also increased.

Conclusions: Patients with term PROM have significant maternal morbidity which was mainly due to infection. The duration of the hospital stay was also significantly increased.


Keywords


Chorioamnionitis, Lower segment caesarean section, Maternal morbidity, Postpartum hemorrhage, Term premature rupture of membranes

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References


Shah M, Sandesara P. Fetomaternal outcome in cases of PROM. Gujarat Med J. 2011;66:1.

Lalwani A, Najam R. The Prospective study of the incidence, etiological factors and maternal outcome in pre-labour ruptured membranes (term and pre-term). Ann Int Med Den Res. 2016;2(2):121-25.

Anjana D, Reddi R. Premature rupture of membrane: A clinical study. J Obst Gynecol India. 1996;46:63-76.

Kadikar GK, Gandhi MR, Damani SK. A study of feto-maternal outcome in cases of premature rupture of membrane. IJSR. 2014;3(3):299-301.

Singhal P, Singhal AK. Fetomaternal outcome in premature rupture of membranes. Obst Gynae Today. 2002;10:585.

Revathi V, Sowjanya R, Lavanya S. Maternal and perinatal outcome in premature rupture of membranes at term. IOSR-JDMS. 2015;14:12-5.

Kodkany, Telang. Premature rupture of membranes, a study of 100 cases. J Obstet Gynecol India. 1991;41:492.

Bangal VB, Gulati P, Shinde KK, Borawake SK. Induction of labour versus expectant management for premature rupture of membranes at term. Int J Biomed Res. 2012;3:164-70.

Pandey S, Dave A, Bandi S. Maternal and fetal outcome in cases of prom. J Obstet Gynecol India. 2000;50:63.

Shrestha SR, Sharma P. Fetal outcome of pre-labor rupture of membranes. Nepal J Obstet Gynaecol. 2006;1(2):19-24.

Vaishnav J, Vaishnav G. A study of foeto-maternal outcome in patients with prelabour rupture of membranes at term (>37) weeks. Med Sci. 2012;1(2):118-24.

Rakholia S. Study of feto-maternal outcome of delayed intervention in cases of term premature rupture of membrane. Glob J Res Anal. 2016;5(1):149-51.