Burri Sandhya Rani
BACKGROUND PPROM is one of the important causes of preterm birth that can result in high perinatal morbidity and mortality along with maternal morbidity. The aim of the study was to evaluate the maternal and perinatal outcomes in term PROM cases. MATERIALS AND METHODS This was a prospective study conducted from May 2016 to June 2017. 50 cases of spontaneous rupture of membranes who were admitted in Department of Obstetrics and Gynaecology in Laxmi Narasimha Hospital, Warangal, Telangana. RESULTS The incidence of PROM was 60% among lower socioeconomic group, which was higher than the incidence in higher socioeconomic group (10%). Booked and unbooked cases had an incidence of 75% and 20%, respectively. Obstetrics and gynaecology history versus PROM, which was 25% in history of term PROM, 20% in history of abortion and 5% in history of preterm PROM. The most common risk factor in PROM is anaemia, which constituted to 23% and the least common risk factor is cervical stich, which constituted to 4%. The favourable Bishop score was present in 19 patients who underwent vaginal delivery and it was in 8 patients who underwent LSCS. Two cases of maternal morbidity were done within 12 hours, 5 cases of maternal morbidity were done between 12-24 hours and 20 cases of maternal morbidity were done more than 24 hours. In 10 cases, perinatal morbidity was observed in 1 case within 12 hours; in 23 cases, 5 cases were having perinatal morbidity and 1 case was having perinatal mortality; out of 17 cases, 10 cases were having perinatal morbidity and 2 cases were having perinatal mortality. CONCLUSION PROM is a common problem among pregnant women and is a high-risk obstetric condition. To reduce the maternal and perinatal morbidity and mortality, evaluation of PROM risks and timely diagnosis is necessary. Administration of antibiotics reduces maternal and neonatal morbidity. To enable delivery within 24 hours of PROM, active management is needed.
