Effect of premature rupture of membranes on the maternal and fetal prognosis during childbirth at the gynecology-obstetrics department of the Matam Communal Medical Center, Conakry, Guinea

Ibrahima Conté; Diallo Boubacar Alpha; Bah Oumou Hawa; Touré Souleymane; Baldé Ibrahima Sory; Sylla Ibrahima Kalil; Sylla Ibrahima; Sow Ibrahima Sory; Sy Telly; Keita Namory

doi:10.18203/2320-1770.ijrcog20200513

Authors

Ibrahima Conté Department of Obstetrics Gynecology of the Ignace Deen National Hospital of the University Hospital Center of Conakry, Guinea Chair of Obstetrics Gynecology, Faculty of Health Sciences and Techniques; Gamal Abdel Nasser University in Conakry, Guinea
Diallo Boubacar Alpha Department of Obstetrics Gynecology of the Donka National Hospital of the University Hospital Center of Conakry, Guinea Chair of Obstetrics Gynecology, Faculty of Health Sciences and Techniques; Gamal Abdel Nasser University in Conakry, Guinea
Bah Oumou Hawa Department of Obstetrics Gynecology of the Donka National Hospital of the University Hospital Center of Conakry, Guinea Chair of Obstetrics Gynecology, Faculty of Health Sciences and Techniques; Gamal Abdel Nasser University in Conakry, Guinea
Touré Souleymane Department of Obstetrics Gynecology of the Donka National Hospital of the University Hospital Center of Conakry, Guinea
Baldé Ibrahima Sory Department of Obstetrics Gynecology of the Ignace Deen National Hospital of the University Hospital Center of Conakry, Guinea Chair of Obstetrics Gynecology, Faculty of Health Sciences and Techniques; Gamal Abdel Nasser University in Conakry, Guinea
Sylla Ibrahima Kalil Department of Obstetrics Gynecology of the Matam Communal Medical Center, Conakry, Guinea
Sylla Ibrahima Department of Obstetrics Gynecology of the Ignace Deen National Hospital of the University Hospital Center of Conakry, Guinea Chair of Obstetrics Gynecology, Faculty of Health Sciences and Techniques; Gamal Abdel Nasser University in Conakry, Guinea
Sow Ibrahima Sory Department of Obstetrics Gynecology of the Donka National Hospital of the University Hospital Center of Conakry, Guinea
Sy Telly Department of Obstetrics Gynecology of the Ignace Deen National Hospital of the University Hospital Center of Conakry, Guinea Chair of Obstetrics Gynecology, Faculty of Health Sciences and Techniques; Gamal Abdel Nasser University in Conakry, Guinea
Keita Namory Department of Obstetrics Gynecology of the Donka National Hospital of the University Hospital Center of Conakry, Guinea Chair of Obstetrics Gynecology, Faculty of Health Sciences and Techniques; Gamal Abdel Nasser University in Conakry, Guinea

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20200513

Keywords:

Maternal and fetal prognosis, Premature rupture of membranes

Abstract

Background: Premature rupture of membranes (RPM) is defined by rupture of the amnion and chorion before entering labor within 24 hours leading to vaginal discharge of amniotic fluid without uterine contractions. Objective of this study was to improving the management of premature Ruptures of the membranes received in the service.

Methods: This was a descriptive and analytical prospective study lasting six months from January 1 to June 30 2016.

Results: During the study period, we collected 108 cases of RPM out of 1543 deliveries, representing a hospital frequency of 7%. RPM had more frequently concerned pregnant women aged 25-29 (37.04%), housewife (37.03%), primiparous (45.37%) and referral (52.78%). 95.37% were single pregnancies with cephalic presentation (80%) received between 37-42 weeks (84.26%). Management mainly consisted of antibiotic prophylaxis (100%), fetal pulmonary maturation and childbirth. The vagina was the main mode of delivery (62.04%). The maternal prognosis was dominated by chorioamnionitis (12.96%). The fetal one was made up of respiratory distress (40.71%) and prematurity (12.39%).

Conclusions: RPM is frequent at the Matam municipal medical center. It is essential for its prevention to ensure health education of the population in general and genital hygiene in particular, to make a coherent prenatal follow-up while putting a particular accent on the detection and the treatment of genital infections.

Metrics

Metrics Loading ...

References

Duff P. Premature rupture of the membranes in term patients. Semin Perinatal. 1996;20:401-8.

Ladfors L, Mattson L, Eriksson M, Fall O. Is a speculum examination sufficient for excluding the diagnosis of ruptured fetal membranes? Acta Obstet Gynecol Scand. 1997;76:739.

De Meeus J, Sima Ole B, Bascou V, Magnin G. Biological diagnosis of premature rupture of membranes: respective values of diamine oxidase activity compared to vaginal fluid pH. J Gynecol Obstet Biol Reprod. 1997;26:730-3.

Audra P, Le Garrec M. Premature rupture of membranes at term and before term. EMC Obstetrics Paris: Elsevier Masson SAS; 2010:1-19 [Article 5-072-B-10].

Marcelilin L. Comparative analysis of two diagnostic tests for premature rupture of membranes in cervico-genital secretions. Gynecol Obtetrics Fertil. 2011;(10):651-56.

Parry S, Strauss J. Premature rupture of fetal membrane. N Engl J Med. 1998;338:663-70.

Mercer BM. Preterm premature rupture of the membranes: current approaches to evaluation and management. Obstet Gynecol. 2005;32(3):411-28.

Moutquin J. Classification and heterogeneity of preterm birth. BJOG. 2003;110:30-3.

Pasquier J, Rabilloud M, Picaud J, Ecochard R, Claris O, Gaucherand P, et al. A prospective population-based study of 598 cases of PPROM between 24- and 34-weeks gestation: description, management and mortality (DOMINOS cohort). Eur J Obstet Gynecol Reprod Biol. 2005;121:164.

Blanchon L, Accoceberry M, Belville C, Delabaere A, Prat C, Lemery D, et al. Ruptured membranes: pathophysiology, diagnosis, consequences and management. J Gynecol Obstet Reprod Biol. 2013;42:104-16.

Accoceberry M, Carbonnier M, Boeuf B, Ughetto S, Sapin V, Vendittelli F, et al. Neonatal morbidity after expectation attitude followed by a systematic birth at 34 weeks amenorrhea in a situation of premature rupture of the membranes. Gynecol Obstet Fertil. 2005;33:577-81.

CNGOF. Recommendations for clinical practice. Premature rupture of the membranes. J Gynecol Obstet Biol Reprod. 1999;28:606-99.

Yasmina A, Barakat A. Premature rupture of membranes at term: prognostic factors and neonatal consequences. Pan African Med J. 2017;26:68.

Ashwal E, Krispin E, Aviram A, Aleyraz E, Gabby-Benziv R, Wiznitzer A, et al. Perinatal outcome in women with prolonged premature rupture of membranes at term undergoing labor induction. Arch Gynecol Obstet. 2016;294(6):1125-31.

Esteves JS, de Sá RAM, de Carvalho PRN, Coca Velarde LG. Neonatal outcome in women with preterm premature rupture of membranes (PPROM) between 18 and 26 weeks. J Maternal-Fetal Neonatal Med Brasilia. 2015;29(7):1108-12.

Aziz N, Cheng YW, Caughey AB. Neonatal outcomes in the setting of preterm premature rupture of membranes complicated by chorioamnionitis. The J Maternal-Fetal Neonatal Med. 2009;22(9):780-4.

Assefa NE, Berhe H, Girma F, Berhe K, Berhe YZ, Gebrehet G, et al. Risk factor of premature rupture of membranes in public hospitals at Mekele City, Tigray, a case control study. BMC Preg Childbirth. 2018;18:386:1-7

Zeraïdi N, Alami H, Daha A, Rhrab B, Kharbache A, Chaoui A. Rupture premature des membranes: aspects epidemiology, Therapeutae’s et evolutive de 480 cas. Marco Med. 2004;26(3):171-4.

Frenette P, Dodds L, Armson BA, Jangaard K. Preterm prelabour rupture of membranes: effect of latency on neonatal and maternal outcomes. J Obstet Gynaecol Canada. 2013;35(8):710-7.

Singh J, Kanti V, Verma V. Study of fetomaternal outcome in cases of premature rupture of membrane at tertiary care rural institute of Western Uttar Pradesh, India. Int J Reprod Contracept Obstet Gynecol. 2020;9:77-81.