Maternal and Fetal Outcome in Preterm Premature Rupture of Membranes - A Study in a Tertiary Care Hospital, Rangpur, Bangladesh

Abstract

Introduction:Pregnancy is a complex and dynamic process that involves numerous physiological and psychological changes for the expectant mother and the developing fetus. One of the common complications that can arise during pregnancy is premature rupture of membranes (PPROM), which occurs when the membranes surrounding the fetus rupture before labor begins. This can lead to complications for both the mother and the fetus, especially in cases of preterm PROM (PPROM), which is defined as the rupture of the fetal membranes before the onset of labor, occurring before 37 weeks of gestation. Aim of the study: The aim of the study was to find out maternal & fetal outcomes in preterm premature rupture of membranes. Methods:This prospective type of cross-sectional study was conducted at the Department of Obstetrics and Gynecology in Rangpur Medical College Hospital, Rangpur, Bangladesh. The study period was Six (6) months, starting from January; 2010 to June 2010 . A total of 50 pregnant women with gestational age>28 weeks to <37 weeks with premature rupture of membranes (PPROM) were enrolled in this study Results: According to the study, 5 (22.16%) patients with recurrences of PPROM and 36.36% of patients with PPROM had previously had miscarriage or abortion. Maternal morbidity, 32% of patients experienced some kind of maternal morbidity after PPROM, compared to 68% of patients who did not. According to the findings of fetal outcomes, 72% of the newborns weighed between 1500 and 2500 grams, and 70% of them had an APGAR score of 7 or higher, compared to 24% who had a score between 6 and 7, and 6% who had a score below. Conclusion:This study provides important insights into the characteristics and outcomes of PPROM patients, and highlights the need for further research in this area. The results suggest that there is a higher risk of maternal morbidity and adverse fetal outcomes associated with PPROM and that factors such as gestational age, past obstetric history, and disease association may play a role in the development and progression of the condition.