The maternal and neonatal mortality and morbidity caused by PROM in a Tertiary care hospital in Bangladesh

Abstract

Objective: The main goal of this study is to discover the impact of PROM on fetal outcome and add to the knowledge pool of obstetricians in order to ensure proper management of PROM to reduce the mortality and morbidity associated with it. Methods: This was a cross-sectional study carried out in the Department of Obstetrics and Gynecology in Bangabandhu sheikh mujib medical university, Dhaka from February 2008 to July 2008. This study was carried out on 50 pregnant women. All cases of PROM/PPROM above 28 weeks of pregnancy were admitted in Bangabandhu sheikh mujib medical university during the study period were included in this study. Results: Mean age of the patients found to be 25.13 years. In this study 61% cases with PROM were primigravida and 39% cases were multigravida. Gestational age in majority of the patients, 71.7% were >37 weeks. In misoprostol induction 61.7% had vaginal delivery and 38.3% had LSCS. In oxytocin augmentation 74.6% had normal vaginal delivery and only 25.4% had LSCS. Maternal morbidity rate was 34%. The fetal morbidity rate was 38% and mortality was only 5%. Conclusion: PROM can be avoided by identifying risk factors, which is an important management strategy. Steroids for fetal lung maturity, antibiotics to avoid fetal and maternal infection, timely induction and/or augmentation of labor, and expert NICU assistance will all help to speed up delivery, reduce hospital stay and infection, and reduce maternal and perinatal morbidity and death.