PPROM is one of the important causes of preterm birth that can result in high perinatal morbidity and mortality along with maternal morbidity. Looking after a premature infant puts immense burden on the economic and health care resources of the country; therefore risk scoring strategies involving the demographic variables along with previous history of preterm deliveries should be developed to identify high risk cases and treating them prior to rupture of membranes.
Material and Methods: A total of 51 patients presented with PPROM to department of obstetrics and gynaecology TMMC & RC, Moradabad during period July 2018-2019. After detailed history and examination, patients were evaluated for various maternal and neonatal morbidity and mortality with its correlation to duration of latency period and labour outcome.
Results: In current study, most of the patients delivered vaginally (76.47%) and LSCS (23.52%) were done for other obstetrics indication. While on conservative management, a rigorous vigil is kept for features of chorioamnionitis. The major concern in delaying delivery with ruptured membranes is the risk of infection which can be deleterious for both mother as well as foetus. There is a significant association of clinical and histological chorioamnionitis with chances of NICU admission due to respiratory distress syndrome in neonate.
Conclusion: Identification and timely referral for specialized obstetrical evaluation and management of these high risk women pre-conceptually or in early pregnancy, is important in reducing the morbidity, mortality, psychological trauma and expense associated with preterm birth.