Impact on Maternal and Fetal Outcome due to the Causative Organism for PROM

Résumé

Introduction: In Bangladesh, maternal mortality is 3.2 per thousand live births due to complications of pregnancy and childbirth. Nonscientific intervention in PROM at various levels intensifies the pregnancy complication several times, thereby leading to many more deaths of fetuses and newborns. However, the aetiology of PROM is largely unknown. Methods and materials: Over a period of six months, from July 2011 to December 2011, this study was conducted at the Department of Obstetrics and Gynecology, Mymensingh Medical College Hospital, in Mymensingh, Bangladesh. During this time, 100 PROM patients in all were enrolled in the study. Data were processed and analyzed by the Computer software SPSS (Statistical Package for Social Science). The level of significance was considered when the p-value was less than 0.05. Result: As a result of the maternal outcome, 40 (40%) women developed chorioamnionitis, 10 (10%) had puerperal sepsis, 8(8%) had DIC, and 42 (42%) had no problem. In fetal outcome, patients of 58% were live birth, 42% were still birth, 46% were mature, and 54% were premature, respectively. Besides, birth weights of 66% were <2.5 kg, and 34% were >2.5 kg.  Conclusion: So, Chorioamnionitis was the most common maternal complication and poor fetal outcome in premature rupture of the membrane.