A Prospective Observational Study to Evaluate the Maternal Outcome in Cases of Premature Rupture of Membranes (PROM) at a Tertiary Care Hospital in Northwest Maharashtra State of India
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Abstract
Introduction: Preterm Premature rupture of membranes (PPROM) complicates approximately 3% pregnancies and constitutes about 1/3rd of preterm births.
Aim: To study the maternal outcome with the duration from Premature rupture of membranes (PROM) to delivery in patients admitted to the Department of Obstetrics and Gynaecology, SMBT Institute, Nashik, MS, India.
Material and methods: All pregnant women with watery vaginal discharge were studied and informed written consent was taken. After taking a proper history about leaking, speculum examination was done with all the aseptic precautions to identify & confirm leaking per vaginum using litmus paper test. BISHOP’s score was assessed at admission.
In the management, induction & treatment are done as per institutional protocol. Maternal monitoring was done throughout and maternal outcome was assessed with respect to PROM to the delivery interval.
Results: The incidence of PROM observed in my study was 5.1%. 12 participants delivered within 6 hours of PROM among them 4 delivered vaginally and 8 delivered by LSCS. The maternal complications revealed no statistical significance. 85 participants delivered within 6–24 hours of PROM, 60 delivered vaginally and 25 by LSCS (21 cases among them had raised CRP levels). In this group, maternal complications were seen in 11 patients. It was statistically not significant. 3 participants were delivered after 24 hours by LSCS (all 3 had raised levels of CRP) Maternal complications were seen in all 3 patients. However, it was also not significant due to extreme variations in the number of patients in each group
Conclusion: With proper intervention and antibiotic coverage, the PROM to delivery interval does not affect the Maternal outcome.
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References
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