Kshama Vishwakarma 1 , Saurabh Kumar Patel 2 , Kalpana Yadav 3 , Aparna Pandey
ABSTRACT: OBJECTIVES: (1) To study incidence of PROM with respect to age, gravidity, gestational age and abnormal presentation. (2) To study impact of PROM on maternal health in terms of mode of delivery, maternal and fetal morbidity. METHODS: 347 married women of age more than 18 years, who had premature rupture of membranes, delivered in G.M.H., Rewa (M.P.) over the period of 1year were included in the study and enquired about various demographic factors and its effect on pregnancy outcome and maternal health. RESULTS: Incidence of PROM was 3.75%. majority of women came from rural area, majority were of age group 21-25 years, primigravidae, 66.6% women delivered within 24 hours of ruptured membranes, 47.4% of women delivered after 24 hours of have undergone caesarean section. Over all caesarean section rate among these patients was 33.4%. Abnormal presentation has a higher incidence of PROM. PROM had higher maternal morbidity-postoperative fever, wound sepsis, abdominal distension, chorioamnionitis and neonatal sepsis and still birth. CONCLUSION: PROM has a great impact on maternal health and perinatal outcome, hence these patients should be managed aggressively. Women with adequate pelvis and favourable conditions for vaginal delivery should be augmented/ induced and decision for caesarean section should be taken early to avoid complications.
