Study of Incidence of Sepsis with Maternal and Foetal Outcomes in Premature Rupture of Membrane at Term
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 6
Abstract
Objective obstetricians from the very ancient days were of the opinion that premature rupture of membranes can cause maternal complications, increases operative procedures and neonatal morbidity and mortality. The aim of this study is to see the maternal and fetal outcome in premature rupture of membranes at term and we studied the cases of PROM during and after delivery and studied common maternal and perinatal morbidities as well as mode of deliveries.To study the efficacy and safety of i.v. oxytocin infusion and vaginal mesoprostol PGE1 analog induction in patient of PROM at term and progress of labor. Methods and material – this is a prospective study where patients with confirmed PROM at term were recruited and monitored for progress of labor as well as mode of deliveries. And we can also study the effect of induction by i.v oxytocin and prostaglandin analog PGE1 in cases of PROM at term. Result- the study period was of 6months with effect from 1ST dec. 2014 –31ST may 2015. The patients were admitted in labor room through emergency. Total no. of deliveries in study period were 910. Out of 910 patients 128 are of PROM. The incidence of PROM in this study 14% and the maximum no. of cases were in the age group of 20-25 years. PROM mainly occurs in primigravida and cephalic is the commonest presentation. PROM is an obstetric emergency and if once PROM is diagnosed it is important that to weigh the risk of PROM and prompt and active management will improve the maternal and fetal outcome. Induction by i.v. oxytocin and PGE1 analog comparable to each other however cesearean rate is slightly higher in PGE1 analog group. Conclusion- prompt diagnosis and active management of PROM cases at term is not only beneficial in improvement of maternal and fetal outcome but it also reduced the hospital expenses, stay and reduced chances of maternal and neonatal sepsis also
Authors and Affiliations
Dr. Jagrati Kiran Naagar
Keywords
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