A Comparative Study of Feto-maternal Outcomes in Pre-labor Rupture of Membrane at Term
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 6
Abstract
Aims and Objectives: To compare feto-maternal outcomes in patients with pre-labor rupture of membrane (PROM) at term with that of patients without PROM and also compare the efficacy of three different modes of induction. Materials and Methods: In this study, 120 patients with PROM were included as cases and 120 patients without PROM were included as controls. We divided cases and controls into three subgroups (40 patients in each group) depending upon the mode of induction, i.e., with oxytocin only, with misoprostol only, with both misoprostol and oxytocin. The data were collected prospectively and analyzed statistically. Results: Mean gestational age of cases and controls was 38.17 ± 0.83 and 38.60 ± 0.70 weeks, respectively. There were higher chances of instrumental delivery and lower segment cesarean section in patients with PROM. Most of the cases (84.17%) were belonging to lower socioeconomic class, so their babies were having low-birth weight. More percentage of cases gave birth to babies with Apgar score <7 at 1 and 5 min. There were higher chances of neonatal intensive care unit admission of babies born to patients with PROM than patients without PROM. There were higher chances of developing fever and wound infection in cases. The chances of fetal and maternal morbidity and mortality were increased in case of PROM and as the leaking to delivery interval increased, it further increased. Conclusion: PROM leads to increased chances of fetal and maternal morbidity and mortality. Hence, early diagnosis and prompt management is required for better outcome of mother and baby. Induction to delivery interval with misoprostol and oxytocin is lesser and more number of cases delivered normally so this mode of induction is better than other modes of induction.
Authors and Affiliations
Mansi Shrigiriwar, Purnima Bhandari, Alka Patankar
Keywords
Related Articles
- EP ID EP470958
- DOI -
- Views 136
- Downloads 0
Efficacy of Electroconvulsive Therapy in Treatment- Resistant Psychiatric Disorder- An Interventional Study from Jammu and Kashmir, North India
Background: Electroconvulsive therapy (ECT) is a biological therapy where seizures are induced under medical supervision by passing electric current across the scalp. Despite its unparalleled record of safety and efficac...
Evaluation of Gastrointestinal Cause in Cases of Unexplained Anemia in Adults - A Study from Tertiary Care Center
Background: Anemia is the most common illness, the human being is suffering even on today. About 50% of Indian population suffer from this disease. Evaluation of anemia is the most important step in the management. Blood...
Myringoplasty: A Retrospective Study
Background: Myringoplasty is the most commonly done surgery in the field of otology. It is a beneficial procedure done for closing tympanic membrane perforations and improving hearing. Objective: The aim of this study wa...
Epidemiological Study of Childhood Dermatosis in Eastern Uttar Pradesh
Background: Prevalence studies of skin disorders in children and adolescents are meager, in India few epidemiological data are available. Proper epidemiological data should be available to be familiar with a geographical...
Relative Prevalence of Vitamin B12 and Folic Acid in Megaloblastic Anemia and Its Clinical – etiological Profile in a Tertiary Care Center
Background: Megaloblastic anemia (MA) causes substantial morbidity in patients with anemia and increasing number of MA is seen in clinical practice over the past 10–15 years. Objectives: The objectives of the study were...