A Study of Maternal and Perinatal Outcome in Pre Labour Rupture of Membranes at Term
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 9
Abstract
Introduction: Prelabour Rupture of Membranes (PROM) is defined as the rupture of fetal membranes with a latent period before the onset of spontaneous uterine activity. The length of this latent period varies in different definitions from not being specified to up to 8 to 12 hours. If the membranes rupture after 37 weeks of gestation is termed as Term PROM. If the rupture of membranes (ROM) occur after 28 weeks but before 37 weeks of gestation it is termed as the Preterm Premature Rupture of Membranes (PPROM). Aim of the study: To assess fetal and maternal outcome in prelabour rupture of membranes at term. Materials and Methods: A Prospective hospital based study was conducted between the period of November 2015 and August 2017 on 100 pregnant women after 37 completed weeks with prelabour rupture of membranes admitted in labour room under the Department of Obstetrics and Gynaecology of Rajah Muthiah Medical College and Hospital. They are evaluated using a preset proforma meeting the objectives of the study. They were evaluated by means of a personal interview, by clinical examination and they were managed according to our institutional protocol. After delivery, the maternal and fetal outcome was studied till discharge. The study was performed in accordance with the ethical principles. Results: In this study, the incidence of PROM was more in the age group of 20 – 29 years which was around 85%. In the present study, PROM was more in primigravida, about 78%. In this study, 34% of PROM occurred between 38 to 39 weeks. Among 100 cases of PROM, 85 cases had come with clear liquor and 15 cases had meconium stained liquor. Among 100 patients 66 delivered by LSCS and 34 by vaginal route. Here, the most common indication for LSCS was Fetal distress (39%), followed by CPD (15%). Maternal morbidity was 11%. Maternal complications include postpartum fever (4%), PPH (2%) and wound infection (2%). etc Perinatal morbidity include birth asphyxia (3%), hyperbilirubinemia (4%), Respiratory distress (8%) etc.
Authors and Affiliations
Dr S. Amala
Keywords
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