A study on fetomaternal outcome in prelabour rupture of membrane conducted at tertiary health care centre at Rajkot, Gujarat, India

Authors

  • Kavita Dudhrajia Department of Obstetrics and Gynecology, PDU Medical College, Rajkot, Gujarat, India
  • Tinjal Chauhan Department of Obstetrics and Gynecology, PDU Medical College, Rajkot, Gujarat, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20231562

Keywords:

Prelabour rupture of membrane, Preterm delivery, Subclinical UTI

Abstract

Background: Prelabour rupture of membrane is defined as a rupture of membrane before onset of labour and in the absence of uterine contraction. When it occurs before 37weeks it defined as a preterm PROM. One of the most common complication is preterm delivery approximately 7-10% and account for 1-2% of foetal death. Most commonly associated with subclinical UTI.

Methods: A prospective study was conducted from (June 2021-June 2022) at a tertiary health care hospital. All female with spontaneous rupture of membrane after 28weeks of gestation.

Results: In present study total 200 cases taken and incidence of department was 6.76%,varies between 2% to18%  commonly involved age groups belongs to 20-24 years, at 35 -36 weeks (52%) and  with high vaginal delivery rate (approximately) with average baby weight between 2.1-2.5 kg with more than 7 APGAR score, more in multigravida.

Conclusions: Incidence of prelabour rupture of membrane can be reduced by early diagnosis of subclinical UTI in antenatal visits.

References

Krishna UR, Shah MH. Prelabour Rupture of Membranes. Obstetrics and Gynecology for Postgraduates, edited by SS Ratnam, K. Bhasker Rao and S. Arulkumaran. 2nd ed.1999;1:96-108.

Begum N. Epidemiology of premature rupture of membrane and management in rangpur medical college hospital. dissertation; Bangladesh College of Physicians and Surgeons; 2004.

Arias F, Daftary SN, Bhide AG. Premature rupture of membrane, practical guide to high-risk pregnancy and delivery. A South Asian Perspective. 3rd ed. 2008:240-261.

Median TM, Hill DA. Preterm Premature rupture of membranes: diagnosis and management. Am Fam Physician. 2006;73(4):659-64.

Tasnim S. Clinical profile and outcome of pregnancy in premature rupture of membrane: a study in Dhaka Medical College Hospital. Dissertation; Bangladesh College of Physicians and Surgeons; 1995.

Begum A. Maternal and fetal outcome of premature rupture of membrane: one-year study in Dhaka Medical College Hospital. Dissertation; Bangladesh College of Physicians and Surgeons; 2001.

Hein M, Helmig RB, Schønheyder HC, Ganz T, Uldbjerg N. An in vitro study of antibacterial properties of the cervical mucous plug in pregnancy. Am J Obstet Gynecol. 2001;185(3):586-92.

Dutta DC. Prelabour rupture of the membranes, Text Book of Obstetrics. 6th ed. 2006:317-320.

Johnson JWC, Daikoku NH, Niebyl JR, Johnson JT, Khouzami VA, Witter FR. Premature rupture of membranes and prolonged latency. Obstet Gynecol. 1981;57:547-56.

Arias F, Tomich PH. Etiology and outcome of low birth weight and preterm infants. Obstet Gynecol. 1982;60(3):277-81.

Alfirevic Z, Milna SJ, Livio S. Cesarean section versus vaginal delivery for preterm birth in singoltons. Cochrane Databse syst Rev. 2013;(9):CD000078.

Bhalerao S, Desai A. Premature rupture of membranes. In: Saraiya UB, Rao KB, Chatterjee A, eds. Principles and Practice of Obstetrics and Gynecology (2nd edn). An FOGSI Publication. New Delhi: Jaypee Brothers; 2003:125.

Yeasmin MS, Uddin MJ, Biswas RS, Azdar A, Chowdhury S, Nourin NA. Risk factors of premature rupture of membrane in a tertiary care hospital, Bangladesh. Chattagram Maa-O-Shishu Hospital Med Coll J. 2020;19(2):5-8.

Mohokar SA, Bava AK, Nandanwar YS. Analysis of maternal and perinatal outcome in cases of preterm premature rupture of membranes. Bombay Hospital J. 2015;57(3):285-90.

Downloads

Published

2023-05-26

Issue

Section

Original Research Articles