Published: 2019-01-25

Maternal outcome in term premature rupture of membranes

Amulya MN., Ashwini MS.


Background: Rupture of Fetal membranes before the onset of labour is called PROM. Premature rupture of membrane (PROM) is associated with various complications. The present study is undertaken to study the maternal morbidity in term PROM.

Methods: A prospective cross-sectional study was conducted at Vijaynagar institute of medical science Ballari for a period of one year by Department of Obstetrics and Gynecology from November 2016 to October 2017.  120 cases of spontaneous rupture of membranes with term gestation with confirmed PROM were selected.

Results: PROM was common in age group of 20-29 years (80%), and common in primigravida. Study showed majority of them belongs to low socioeconomic status (80%) , 13.33% belonged  to middle socioeconomic status and 6.66% belonged to higher socioeconomic status. In present study, it is observed that 27.05% cases  went  into  spontaneous labour and delivered normally, 56.50% cases delivered by induction and  20% cases  were delivered by LSCS. The rate of maternal morbidity was 16.6%,  which includes febrile morbidity accounting to maximum with 9.6% followed by wound infection 3.33% and others were PPH(1.66%)and puerperal sepsis (each 1.66%).

Conclusions: The rate of maternal morbidity was 16.6% and no maternal death observed. Hence an appropriate and accurate diagnosis of PROM is essential for favorable outcome in pregnancy and reduces the maternal morbidity.


LSCS, Maternal morbidity, Premature rupture of membrane

Full Text:



Jairam VK, Sudha S. A study of premature rupture of membranes management and outcome. J Obstet Gynecol India. 2001;51(2):58-60.

Aktar MS, Degan JS, Aktar UA, D Sharam. PROM: Study of 300 cases and review of literature. J Obstet Gynecol India.1980;30:81.

ACOG Committee on Practice Bulletins-Obstetrics. ACOG Practice Bulletin No. 80: premature rupture of membranes. Clinical management guidelines for obstetrician-gynecologists. Obstet Gynecol 2007; 109:1007-10.

El-Messidi A, Cameron A. Diagnosis of premature rupture of membranes: inspiration from the past and insights for the future. J Obstet Gynaecol Can. 2010; 32(6):561-9.

Noor S, Nazar AF, Bashir R, Sultana R. Prevalance of PPROM and its outcome. J Ayub Med Coll Abbotta. 2008;19(4):14-17.

Naeye R, Peters E. Causes and consequences of premature rupture of fetal membranes. The Lancet. 1980 ;315(8161):192-4.

Devi A, Rani R. Premature rupture of membranes- A clinical study. J Obstet Gynecol India. 1996;46:63.

Kodkany, Telang. Premature rupture of membranes, a study of 100 cases. J Obstet Gynecol India 1991;41:492.

El-Messidi A, Cameron A. Diagnosis of premature rupture of membranes: inspiration from the past and insights for the future. J Obstet Gynecol Can. 2010;32(6):561-9.

Vogel JP, Lee AC, Souza JP. Maternal morbidity and preterm birth in 22 low-and middle-income countries: a secondary analysis of the WHO Global Survey dataset. BMC Preg Childbirth. 2014;14(1):56.

Jayaram VK, Sudha S. A study of premature rupture of membranes- management and outcome. J Obstet Gynaecol India 2001;51(2):58-60.

Shrestha SR, Sharma P. Fetal outcome of pre-labor rupture of membranes. Nepal J Obstet Gynaecol. 2006;1(2):19-24.

Piya R, Sikdar K, Das A, Ghosh T. Study of cases of chorioamniotics followed premature rupture of membranes. J Obstet Gynecol India. 1997;47:136.

Kumar S. Impact of premature rupture of membranes on maternal and neonatal health in Central India. J Evidence Based Med Healthcare. 2015;2(48):8505-8.

Kassa EM, Sirak B. Maternal and perinatal outcome of pregnancies with preterm premature rupture of membranes (pprom) at tikur anbessa specialized teaching hospital, Addis Ababa, Ethiopia. Ethiopian Med J. 2015;52(4):165-72.

Gunvant KK, Gandhi MR, Damani SK. A Study of Feto- Maternal Outcome in Cases of Premature Rupture of Membrane. Int J Scienti Res.2014;3(3):817.