Maternal and Fetal Outcome in Term Premature Rupture of Membrane

Background: Premature rupture of membranes (PROM) is a significant obstetric desperation.PROMrefers to the breakingof fetal membranes before the onset of labor, resulting in spontaneous leakage of amniotic fluid. PROM, which occurs before 37 weeks of gestation is defined as preterm PROM and PROM that occurs after 37 weeks of gestation is defined as term PROM. It is associated with detrimental maternal and perinatal consequence.

Method: This cross-sectional observational study was carried out in the Department of Obstetrics & Gynecology, Bangabandhu Sheikh Mujib Medical University between 1st March 2017 and 31st August 2017. The aim of the study was to assess the maternal and fetal outcome in term premature rupture of membrane and to address the preventable cause for better outcome. A total of 60 pregnant women having term premature rupture of membranes admitted at Department of Obstetrics &Gynecology were enrolled for the study. Statistical analysis of the results was performed by using window based computer software devised with Statistical Packages for Social Sciences (SPSS- 20).

Results: This study shows greater number of the patients (41.7%) were between the age group of 26-30 years. Among them maximum was multigravida (61.7%) and 60% of term PROM cases have association with medical comorbidities and infections (18.3% anemia, 13.3% UTI, 15% HTN with DM and 6.7% DM). Maximum patients with term pregnancy with PROM went in to spontaneous labor and delivered. Puerperal sepsis was the most frequent maternal morbidity (38.3%) and 10% developed chorioamnionitis. Perinatal outcome:53.3% had birth weight >2.5 kg and 46.7% had birth weight ≤2.5 kg .And 20% had Apgar score<7, 13.3% had developed neonatal jaundice and 10% neonates had developed septicemia.

Conclusion: Puerperal sepsis was the most common maternal complication of term PROM and neonatal jaundice and septicemia were more common fetal outcome.