Abstract: Introduction: premature rupture of membranes before pregnancy full terme is a rupture of the amnion and chorion occurring before 37 gestational weeks of and before the onset of labor.
Objective: study premature rupture of membranes before full term
Patients and Method: This was a prospective, descriptive study covering a period of seven (07) months, from December;1st 2020 to June,30 th 2021 performed in N’Djamena Mother and Child University hospital (NMCUH). We included in this study all patients admitted for Preterm premature rupture of membranes (term less than 37 SA). Studied variables were: clinical epidemiology, prognosis, treatment.
Results: During the study period, we recorded 73 cases of premature rupture of membranes before full term among 2048 deliveries giving a frequency of 3.6%. Patients who came to us on their own represented 67.1%. Loss of amniotic fluid was the main reason for consultation in 95.9%. Patients with a gestational term of less than 34 weeks accounted for 68.5%. Patients were placed in the Trendelenburg position in 93.2% Corticosteroid therapy was instituted in 75.3%. All patients had received antibiotic therapy. Tocolysis using nifedipine was carried out in 90.4% of patients. The decision to allow the pregnancy to progress was taken in 86.3% of pregnant women. Patients that have given birth prematurely represented 72.6%. Chorioamniotitis was the main complication before childbirth, reported in 13.7%. On the maternal side, one case of endometritis was noted (1.4%).
Conclusion: Premature rupture of membranes before full term is a frequent and serious complication of pregnancy, causing maternal and fetal complications.
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