Determination of The Factors Affecting The Latent Period of Periviable Premature Rupture of Membranes Cases and Evaluation of Newborn Outcomes

Abstract

OBJECTIVE: To determine the factors associated with the latent period in patients with periviable period PROM. METHODS: 106 pregnant women were included in the study. All pregnant women with ruptured membranes between 22 and 26 weeks of age, who gave birth in our hospital and whose data can be accessed, were included in the study. Maternal and Neonatal characteristics were recorded RESULTS The difference was found to be statistically significant. When the C-Reactive Protein (CRP) values of the patients at the time of admission were grouped as negative (<5) and positive (>5), it was seen that the average latent period of the negative group was 18.9 (±17.05) days and the positive group was 8.47(17,07) days.Chorioamnionitis was observed in 8 patients among 31 newborns whose data we could access. There is a statistically significant relationship between chorioamnionitis and NEC. (p=0.043) CONCLUSION: When the factors that may affect the latent period were examined, it was seen that the latent period of the group in which tocolysis was used was statistically significantly longer (p=0.001). A statistically significantly longer latent period was observed in the group with a negative (<5) CRP value at the time of admission, compared to the group with a positive (>5) CRP value (p=0.001). It was observed that there was a statistically significant negative correlation between PROM week and latent period.(r=-0.361),p=.00)