The effect of Premature Rupture of Membranes (PROM) on maternal and neonatal health: A study of 50 cases

Abstract

Background: Rupture of the amnion and chorion before entering labor within 24 hours, resulting in vaginal discharge of amniotic fluid without uterine contractions, is known as premature rupture of membranes (RPM). Objective: The aim of this study was to know the effect of Premature Rupture of Membrane (PROM) on maternal and neonatal health. 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. Total number of deliveries in this hospital were 778. 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: The overall incidence of term PROM among study population was 6.42%. Mean age of the patients found to be 25.13 years. 54% cases with PROM were primigravida and 46% cases were multigravida. Gestational age in majority of the patients, 73% were >37 weeks. with Urinary tract infection (28%) was the common maternal disease associated with PROM. The most prevalent delivery method (64%) in our study was vaginal delivery. The overall maternal and fetal morbidity rate of our study was 30% and 34% respectively. Patients having prom more than 48 hours had a morbidity rate of 66.66%. Neonatal jaundice and neonatal sepsis were the two major morbidity which was 16.32% and 14.28%. Conclusion:  The medical center has a lot of RPM. It is critical to guarantee population health education in general, and genital cleanliness in particular, as well as a consistent prenatal follow-up with a focus on the identification and treatment of genital infections, in order to prevent it.