FOETO-MATERNAL OUTCOME IN PRETERM PREMATURE RUPTURE OF MEMBRANES

Abstract

Preterm Premature Rupture of Membranes (PPROM) as dened by Gibret and Harmon (2003) , as rupture of membrane with release of amniotic uid at least one hour prior to labor and prior to term, that is after 28 weeks of gestation and (2) before 37 completed weeks of gestation. PPROM occurs in 3% of pregnancies and is responsible for 30-40% of preterm births . Historically the incidence of PPROM as reported by Mercer, in 1992 was 2.7% to 17%, depending on length of latent period used in making diagnosis. PPROM is an obstetric conundrum with signicant maternal morbidity and neonatal morbidity and mortality, a careful consideration of various factors and individualization of cases is necessary for appropriate management AIM To obtain the incidence of preterm premature rupture of membranes (PPROM) at tertiary teaching hospital, to study risk factors and analyze the trends in maternal and perinatal morbidity - mortality in PPROM. METHODS This study was a hospital based observational (analytical) cohort study of prospective (longitudinal) type conducted in Department of Obstetrics and Gynecology at a multidisciplinary tertiary and referral hospital in Chhattisgarh over a period of 12 months. 214 cases of preterm births who presented to us with PPROM were studied. RESULTS Our study conducted in a tertiary centre revealed a prevalence of PPROM to be 5.15%. In our study, 39.24% of preterm deliveries were due to PPROM. In the present study 72.9% of cases were unbooked while only 27.1% of patients were booked. 33.64% of women belonged to lower socioeconomic status, maximum 43.46% of women belonged to lower middle class. In our study, maximum number of women were from age group of 21 to 30 yrs. i.e., 70.56%. Majority of the patients in our study were primigravida (49.53%).