Abstract: Background and Objectives:
Premature rupture of membranes (PROM) is a vital event which is unpredictable. It can lead to maternal and perinatal complications and neonatal morbidity and mortality. The current research is conducted to evaluate the labour outcome, maternal morbidity and perinatal morbidity and mortality in PROM at term gestation and compared the outcome in controls.
Methods: A total of 200 cases were studied, of which 100 cases of PROM at more than or equal to 37 weeks of gestation, confirmed by speculum examination were evaluated. Another set of 100 cases with spontaneous rupture of membranes/Artificial rupture of membranes after onset of labour was studied. A detailed history was taken and gestational age confirmed, general, systemic and obstetrical examinations were done. Parameters of maternal and foetal well being were recorded. All study groups received prophylactic antibiotics. Pelvic examination done was done on admission and maternal vitals and foetal heart rate was recorded hourly.
Results: PROM was common in younger women. 64% of cases were unbooked while 24% of controls were unbooked. 67% of cases had PROM-delivery interval between 11-20 hours. In the present study, the rate of Caesarean section was 38%. The commonest indication of LSCS being Foetal distress which is 21%. Maternal morbidity was seen in 42% of cases, fever being the commonest responsible for 21% of cases. Perinatal morbidity was seen in 50% of cases, Respiratory distress being the commonest. The perinatal mortality rate was seen in 3%. No maternal mortality was observed in the study.