Bacteriological Assessments of Premature Rupture of Membrane in Dhaka Medical College Hospital

Abstract

Introduction: Premature rupture of membranes (PROM) is the single most frequent analysis associated with preterm delivery. The major complication of preterm PROM is early delivery. Every year around 28,000 women die due to complications of pregnancy and childbirth in Bangladesh. Nonscientific intervention in PROM made at several stages intensifies the pregnancy complications several times, thereby leading to many more deaths of the foetus and newborn. Methods: A prospective cross-sectional study was carried out in the Department of Obstetrics and Gynae, Dhaka Medical College and Hospital from March 2008 to July 2008.A total of 50 pregnant patients (N=50) with PROM in the maternity unit were enrolled in this study following the inclusive criteria. Data were collected in the pre-designed data collection sheet. Data were analyzed statistical package for social science (SPSS). Result: Commonest organism 72% were no growth, 10% were streptococcus, 6% were E. coli, 2% were delivered alpha-haemolytic streptococcus, 2% were candida, 2% were anaerobes, 2% was chlamydia and 2% pneumococcus. 52% were preterm and 42% were term delivery. 40% were chorioamnionitis, 10% were puerperal sepsis and 8% were DIC. Infection-related, 16% were urinary tract infections, 4% were lower genital traction infections and had no sexually transmitted disease. In fetal outcomes 58% were live birth, 42% were stillbirths, 46% were mature and 54% were premature. 66% were <2.5 kg and 34% were >2.5 kg. Conclusion: Premature rupture of membrane and chorioamnionitis may cause antagonistic maternal consequences linked to infection. Premature rupture of membrane indicated lower birth weight for infants. Proper antibiotics must be certain prophylactically for the anticipation of intra-partum infection in case of PROM.