Incidence Rate, Risk Factors and Outcome of Premature Rupture of Membranes (PROM) at Zagazig University Hospitals

Abstract

Background: Premature rupture of membranes (PROM) is a common pregnancy complication and is associated with significant risks of fetal and neonatal morbidity and mortality. Objective: This study aimed to measure the incidence rate of preterm premature rupture of membranes (PPROM) among pregnant women attending Zagazig University Hospital, and to identify the risk factors associated with PROM and fetal/neonatal outcomes. Methods: This cross-sectional study was conducted at Zagazig University Hospitals. It included 69 women with PROM. The study was conducted from July 2019 to January 2020. All patients were subjected to detailed history taking, general examination and laboratory investigations. Results: There were 46 mother gave birth of healthy babies with good Apgar score (66.7%), 15 with babies needed O2 incubators (21.7%) and 8 with babies that were put on ventilators (11.6%). There were 68 mothers with no bad outcomes and 1 with chorioamnionitis. The risk factors of the cases showed that there were 15 with no risk factor (21.7%), 8 with previous PROM (11.6%), 6 with multi pregnancy (8.7%), 12 with antepartum (17.4%), 16 with infections (23.2%) and 12 with chronic diseases (17.4%). Conclusions: we concluded that younger, illiterate parturient women were found to be provoking factors to increased PPROM. Such hazards may affect both maternal and neonatal outcome such as infection, maternal distress, fetal distress, increase operative delivery, as well as need for neonatal intensive care unit care in more than 50% of the neonates.

Determinants of premature membrane rupture among mothers receiving labor care at different public hospitals in Northeast Ethiopia: An unmatched case control study

“…In the current study, women with a history of PROM were 3.89 times more likely to develop PROM in their current pregnancy than were those without a history of PROM. The results of this study are supported by studies performed in India, Indonesia, Nigeria, Egypt, and different areas of Ethiopia (16,17,29,[35][36][37][38][39][40][41].…”

Determinants of stillbirth among reviewed perinatal deaths in Ethiopia

“…lastly, the combination of all these effects could lead to fetal asphyxia and death (78,79). In line with this, history of ANC visits, urinary tract infection, being anemic, previous history of cesarean section, gestational hypertension, and diabetes were known modifiable risk factors for both maternal health conditions (i.e., Maternal complication of pregnancy and complications of the placenta, cord, and membranes) (30,80,81). Thus, the reduction of preventable stillbirths from the above two maternal health conditions can be achieved by controlling the predisposing factors.…”