Sharing the Experience of Management of Neonates with Maternal Premature Rupture of Membranes
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 70, Issue 6
Abstract
<strong>Background:</strong> Neonates with the maternal premature rupture of membranes are commonly encountered in the clinical practice. The condition has an important implication for the management of neonates, as it is associated with certain risks of morbidity and mortality. The management varies among the physicians. The study aimed at evaluating out the neonatal outcome of the existing condition with institutional practice. <strong>Methods:</strong> The study was conducted at King Khalid Hospital, Al Majmaah KSA from August 2016 to August 2017. Two hundred neonates born to mothers with premature rupture of membranes were evaluated, monitored and treated in neonatal unit. Septic screening was done in all the neonates and empiric antibiotics were started for all the neonates. Maternal risk factors were taken into consideration. Neonatal outcomes were considered in all cases. <strong>Results:</strong> There were 111 male and 89 female neonates. Most of the cases were term prom while 68 cases were pre-prom. Most commonly associated complication was feeding intolerance found in 16% of cases. Only two neonates had a positive blood culture for group B streptococci. Maternal high vaginal swab yield group B streptococci in 17 cases. Sepsis developed in three cases. One hundred and ninety eight neonates were discharged home while one patient died of severe sepsis. <strong>Conclusion:</strong> PROM is a common clinical entity that requires careful handling of the neonates to prevent the mortality and morbidity. With prompt treatment, the outcome can be significantly improved.
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP583589
- DOI 10.12816/0044327
- Views 98
- Downloads 0
Clinical, and Biochemical Profile of Pediatric Diabetic Ketoacidosis Patients in Al-zahraa Hospital Pediatric ICU
Background: Diabetic ketoacidosis (DKA) is an acute and life-threatening situation that accounts for themajority of diabetes-related morbidity and mortality in children and adolescents who suffer from type 1 diabetes mel...
Prevalence of Factors That Can Increase the Risk of Hip Fracture and Its Complications after Surgery
Background: hip fractures are defined as any fracture of the femur between the articular cartilage of the hip joint to 5 cm below the distal point of the lesser trochanter; they can occur at any age, they but are most co...
Correlation of Ultrasound & Mammography to Histopathology Results in Breast Cancer. A One Year Study at King Khalid Hospital, Najran, Saudi Arabia
<strong>Objective</strong>: To compare the ultrasound & mammography results to histopathology reports of breast cancer cases presented in King Khalid hospital, Najran, Saudi Arabia, 2016. <strong> Methods:</strong>This r...
Laparoscopic repair of inguinal hernia transabdominal preperitoneal (TAPP) versus total extraperitoneal (TEP) Techniques
<strong>Background: </strong>The fundamental mechanism of abdominal wall hernia formation is the loss of structural integrity at the musculotendinous layer. The exact cause of inguinal hernia is still unknown but the fac...
DWI in Assessing Aggressiveness of Rectal Cancer
<strong>Background:</strong> diffusion-weighted magnetic resonance imaging (DW-MRI) permits non-invasive assessment of tumor characteristics.<br /> <strong>Aim of the work:</strong> this study was aimed to emphasize the...