Premature rupture of membranes refers to rupture of fetal membranes at least one hour prior to the onset of labour, It is also referred to us Prelabor PROM. It can eiher occur ar trem (>37 weeks) or preterm (37<weeks). Prolonged PROM refers to PROM greater than 24 hours and is associated with an increased risk of ascending infection. Premature rupture of membranes that occurs before 24 weeks is called Midtrimester or Previable PROM. Patient of prom present with leakage of fluid, vaginal discharge and prelvic pressure, but they are not having contractions it can lead to significant morbidity, Including respiratory syndrome, neonatal sepsis, umbilical cord prolapse, placental abruption and fetal death appropriate evaluation and management are important for improving neonatal outcome.
Materials and Methods: This Present Prospective study was conducted in the department obstetrics and gynecology C.U. Shah medical college and hospital over a period from 2018 to 2019 among the patients diagnosed as premature rupture of membranes with woman complains of leaking attending antenatal OPD and antenatal admission detailed history was taken. Per abdomen, per speculum, per vaginal examination were carried out and investing were done as per the protocol. As per investigations maternal and fetal outcome were noted.
Result: More number of unbooked cases were found in study in comparision to controlled group. Most women in the age group of 20-25 years. The main identifiable risk factors in present study were previous history of prom and tobacco chewing and amniotic fluid was decreases in majority of the patients. Incidence of pre PROM were more than that of term PROM. Better fetal outcome was associated with term gestation age. Higher of maternal complications were found among the PROM.
Conclusion: Prom is a significant Obstetrics complication in 5 to 10% of all pregnancies. Antenatal diagnose is of preterm prom by identifying risk factors is imp tool in management of preterm prom and its early recognition of prom and its associated complications and appropriate management helps in reducing the maternal and neonatal morbidity.