Publication:

Study on preterm pre mature rupture of membrane with special reference to maternal and its fetal outcome

Background To study see maternal and fetal outcome in preterm pre mature rupture of membrane. To reach consciousness how early PPROM cases could be terminated with least morbidity to the mother and fetusMethods: The study conducted in Department of Obstetrics and Gynecology, Katihar Medical College and Hospital, Bihar between November 2013 to august 2015. Sixty Pregnant mothers attended and admitted through antenatal clinic OPD and Emergency with complaining PPROMResult: Over all age range of mothers was (18 to 38) years and over. Over all mean of parity of mothers was 0.87±1.2 birth .The Morbidity exceeded to 46 (76.67%) when the duration of PROM was more than 24 hours. As the Duration of PROM was 12-24 hrs and more the effect on consequences had been disastrous on new born.  Mean of weight at birth was 1730.0±516.5gm and Median (Min-Max.) weight was (1000 - 3000) gm. There was 100% morbidity and mortality in gestational age group of 24- 26 weeks in mothers while as gestational age increases the morbidly and mortality decreases. The morbidity and mortality of newly born babies was maximum in cord compression followed by very low birth weight.

Conclusions Preterm prelabour of the fetal membranes contributes to one-third of all preterm births. Conservative management to prolong gestation should be performed in the absence of evidence of infection. There is currently no evidence regarding the risks and benefits of prolongation of gestation beyond 34 weeks gestation.