Maternal and Neonatal Outcomes and the Associated Risk Factors for Premature Rupture of Membranes
MR Pradeep
Citation Information :
Pradeep M. Maternal and Neonatal Outcomes and the Associated Risk Factors for Premature Rupture of Membranes. J South Asian Feder Obs Gynae 2020; 12 (6):402-407.
Premature rupture of membrane (PROM) has significant adverse events in the prenatal, peripartum, and neonatal period. Understanding the maternal and neonatal outcomes of PROM is very important to reduce maternal and child mortality by prevention of complications and better management of the condition. The present study is undertaken to determine the maternal and fetal outcomes in patients with PROM and factors influencing the maternal and neonatal outcomes following PROM. We retrospectively evaluated the maternal and neonatal outcomes and the associated risk factors for 200 consecutive singleton pregnancy outcomes by PROM. Our results suggest that the mean age of the study participants was 22.90 ± 3.45 years ranging from 18–40 years. The estimated occurrences of unfavorable maternal and neonatal outcomes were 24.5 and 28.0%, respectively. Fever (67.3%) followed by puerperal sepsis (12.3%), wound infection (6.1%), and postpartum hemorrhage (6.1%) were common maternal outcomes and birth asphyxia (55.4%) followed by neonatal septicemia (25.0%) and convulsion (5.4%) were common neonatal outcomes. C-reactive protein (CRP) was positive among 44.0% of the mothers, and Escherichia coli was the commonest organism isolated in the cervical swab. The positive serum maternal CRP levels with an adjusted odds ratio (AOR) of 3.3 and 4.8 and latency in conducting delivery with an AOR of 1.1 each were the significant independent predictors of the maternal and neonatal morbidities (p <0.05).
Maternal and neonatal outcomes in premature rupture of membranes at University of Maiduguri Teaching Hospital, Maiduguri, North-Eastern Nigeria. Trop J Obstet Gynaecol 2019;36(1):15–20. DOI: 10.4103/TJOG.TJOG̲89̲18.
Maternal and Neonatal outcome in premature rupture of membranes. Bangladesh J Med Sci 2018 29;17(3):479–483. DOI: 10.3329/bjms.v17i3.37004.
Incidence of morbidity and mortality in neonate born to mothers with premature rupture of membranes. Int J Contemp Pediatr 2016;3(4):1394–1400. DOI: 10.18203/2349-3291.ijcp20163685.
Maternal and neonatal outcome in cases of premature rupture of membranes beyond 34 weeks of gestation. Int J Reprod Contracept Obstet Gynecol 2017;6(4):1302–1305. DOI: 10.18203/2320-1770.ijrcog20171382.
The preterm prediction study: prediction of preterm premature rupture of membranes through clinical findings and ancillary testing. The National Institute of child Health and Human Development Maternal-Fetal Medicine Units Network. Am J Obstet Gynecol 2000;183(3):738–745. DOI: 10.1067/mob.2000.106766.
Preterm Premature rupture of the membranes. Obstet Gynecol 2005;101(1):178–193. DOI: 10.1016/s0029-7844(02)02366-9.
Maternal morbidity and perinatal outcomes of delivery in women with PROM. J Evid Based Med Healthc 2018;5(5):388–391. DOI: 10.18410/jebmh/2018/79.
Maternal morbidity and perinatal outcome in preterm premature rupture of membranes before 37 weeks gestation. Pak J Med Sci 2014;30(3):626–629. DOI: 10.12669/pjms.303.4853.
Vaginal infections and its relation to preterm labour, PPROM, PROM and its outcome. Int J Reprod Contracept Obstet Gynecol 2015;4(5):1422–1426. DOI: 10.18203/2320-1770.ijrcog20150723.
A study on feto-maternal outcome in patients with premature rupture of membranes. Int J Reprod Contracept Obstet Gynecol 2016;5(12):4123–4127. DOI: 10.18203/2320-1770.ijrcog20164181.
Maternal and perinatal outcome in premature rupture of membranes at term pregnancy. Int Arch Integr Med 2018;5(4):87–91. DOI: 10.18535/jmscr/v5i11.71.
A study on maternal and perinatal outcome in premature rupture of membranes at term. Int J Reprod Contracept Obstet Gynecol 2017;6(12):5368–5372. DOI: 10.18203/2320-1770.ijrcog20175244.
Maternal outcome in term premature rupture of membranes. Int J Reprod Contracept Obstet Gynecol 2019;8(2):576–579. DOI: 10.18203/2320-1770.ijrcog20190287.
Impact of premature rupture of membranes on maternal andneonatal health. J Evid Based Med Healthc 2015;2(49):8505–8508. DOI: 10.18410/jebmh/2015/1165.
Outcome of neonates born to mothers with premature rupture of membranes. Int J Contemp Pediatr 2018;5(4):1190–1194. DOI: 10.18203/2349-3291.ijcp20181994.
Maternal and fetal outcomes in term premature rupture of membrane. World J Emerg Med 2016;7(2):147. DOI: 10.5847/wjem.j.1920-8642.2016.02.011.
Study of association of C-reactive protein with maternal chorioamnionitis and early-onset neonatal sepsis in premature rupture of membranes deliveries: adiagnostic dilemma. Int J Appl Basic Med Res 2019;9(4):236. DOI: 10.4103/ijabmr.ijabmr̲119̲19.