Abstract: Background and Aim:
Premature rupture of membrane before 37 wks. Gestation is known as preterm premature rupture of membrane (PPROM). The key factor in the fetal and maternal outcome is that the diagnosis of pre labour rupture of membranes must be established. The aim of this study was to assess maternal and fetal outcome in women with premature rupture of membranes.
Material and Methods: Present study was prospective, analytical hospital based study. The study was conducted at Tertiary care Institute of India. The study population includes 200 obstetrics cases of singleton pregnancy with gestational age of 28 weeks to 36 weeks with spontaneous rupture of membranes over a period of 1.5 years. Detailed clinical examination of the patient was done to see any co-morbidity. Data was collected using a performa. Detailed workup including history, general physical examination, abdominal and pelvic examination and relevant specific investigation were noted.
Results: Maximum numbers of cases (50%) were primigravida and 25% were 2nd gravida. In 69% women duration of leaking was < 12 hours and in 8% women duration of leaking was> 24 Hours. Out of 200 cases 67% delivered vaginally and 33% were LSCS. Commonest neonatal mortality was respiratory distress syndrome. Those maximum numbers of NICU admission in cases as well as control group were in gestational age 34-36 weeks.
Conclusion: Most common cause of PPROM was unknown. Most common maternal morbidity was puerperal fever and neonatal morbidity was respiratory distress. Maternal and fetal morbidity increases with increase in duration between rupture of membranes and delivery of fetus, so augmentation of labour should be done. In our study most common cause of cesarean was previous cesarean.