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 128
- Downloads 0
Assessment of Left Atrial Function in Patients with Non-ST-Segment Elevation Myocardial Infarction Using Two-Dimensional Speckle Tracking Echocardiography
<strong>Background</strong>: the left atrium (LA) plays a major role in Left ventricular (LV) performance. LA function is a surrogate marker of LV diastolic dysfunction. LA mechanical dysfunction occurs in LV systolic an...
Evaluation of ALBI, MELD and Child-Pugh Scores as non-Invasive Predictors of Esophageal Varices
Background: the prevalence of esophageal varices (OV) in newly diagnosed cirrhotic patients is approximately 60-80% and the 1-year rate of first variceal bleeding is approximately 5% for small esophageal varices & 15% fo...
Lidocaine and Dexamethasone for Paracervical Block Anesthesia in Women with Missed Abortion (Randomized Controlled Trial)
Aim of the work: nerve block is a technique whereby local anesthetic solutions are infiltrated around a nerve (or perineurally) to provide anesthesia and analgesia. Nerve block for intraoperative and postoperative pain m...
Assessment of Hypocalcemia Following Total Thyroidectomy for Benign Thyroid Lesions: To Be Continued or Not?
Background: Thyroidectomy is one of the most common operations performed worldwide by various surgeons whether general or endocrine surgeons. The rate of complications following thyroidectomy has been progressively decre...
Management of Placenta Previa During Pregnancy
Placenta previa is an obstetric complication (OS) that traditionally shows painless vaginal bleeding in the third trimester secondary to a strange placentation close or covering the interior cervical OS. Due to the inher...