Premature Rupture of Membrane- Risk Factors: A Clinical Study
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 1
Abstract
Introduction: Premature rupture of membranes (PROM) is defined as a spontaneous leakage of amniotic fluid from the amniotic sac where the baby swims. The present study was conducted in the department of Obstetrics and Gynaecology to calculate the risk factors of PROM. Material and Methods: The present study was conducted in the department of Obstetrics and Gynaecology in year 2010. It consisted of 120 patients with premature rapture of membranes (PROM). All patients were asked to fill the questionnaire and physically examination was done and sterile cusco speculum conducted, which aided in the collection of endocervical and posterior vaginal fornix swabs from all of them. Each swab was included on to blood, chocolate, Mac Conkey, and around dextrose agar plates, while chocolate agar plates were incubated in candle extinction and all other plates were incubated in air at 37 c for 24 - 48 hrs. Wet preparation slides were also made from all swabs and examined for fungal elements. Results: Out of 120 patients 11 were less than 18 years, 65 were in age group 19-29 years, 35 were in 30-40 years and 9 were above 40 years of age. The distribution of patients according to gravidity. Primigravida were 52% and nulipara was reported in 56%. 105 patients showed no history of abortion, 9 were one time aborted, 4 were two times aborted and 2 were three times aborted. Various causes of leaking were unknown (54), previous PROM (28), recurrent UTI (18), itching (6), polyhydramnois (5), unstable lie (5) and antepartum hemorrhage (4). 92 patients were housewives, 24 were employee and 4 were students. Vulvar examination was normal in 107 patients and abnormal in 13 patients. Vaginal examination was normal in 106 patients and abnormal in 14 patients. Cervical examination was normal in 110 patients and abnormal in 10 patients. The difference was significant (P<0.05). Conclusion: Premature rupture of membrane is the complication seen in pregnancy. Mostly the cause is unknown followed by previous PROM. It is seen mostly in housewives. The age group 20-30 is the favourable group in which PROM is seen.
Authors and Affiliations
Seema Mishra, Mamta Joshi
Keywords
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