Maternal Risk Factors of Premature Rupture of Membrane (PROM) after 37 Weeks of Pregnancy

Alijani, Leila; Mosadegh, H.; Saremi, A.T.; Khan, Dr. Mithun Mahbub

doi:10.29252/sjrm.2.1.9

Cited by 3 publications

(3 citation statements)

References 15 publications

(14 reference statements)

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“…A prior history of abortion was another predictor of PROM identified in the current study. In agreement with this result, different studies conducted in Mekelle, Southern and Nekemte, Ethiopia [33][34][35], Uganda [5], Egypt [50], Iran [36], and China [37] reported that a prior history of abortion was associated with the incidence of PROM. The possible reason might be the risk of intraamniotic infection developing from latent upper genital tract infections in a PLOS ONE mother who had a prior history of unsafe abortions without getting proper postabortion care using aseptic techniques [3].…”

Section: Discussionsupporting

confidence: 76%

“…Literature showed that advanced maternal age [22,23], low-level education [24], low socioeconomic status [25], parity [26,27], pregnancy-induced hypertension (PIH) [28][29][30], urinary tract infection (UTI) [4,5,31,32], history of cesarean section [33][34][35], history of abortion [33,36,37], smoking [28,38], and multi-fetal gestation [4,24,38] were some of the risk factors contributing to the occurrence of PROM.…”

Section: Introductionmentioning

confidence: 99%

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Determinants of prelabor rupture of membrane among pregnant women attending governmental hospitals in Jimma zone, Oromia region, Ethiopia: A multi-center case-control study

Assefa,

Chane,

Teme

et al. 2023

PLoS ONE

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Background Prelabor rupture of membrane defined as the rupture of fetal membranes before the beginning of uterine contractions, is a common complication of pregnancy and the leading cause of preterm birth. In Ethiopia, the prevalence of prelabor rupture of membrane varied significantly between settings due to variations in risk factors. Besides, there was no study conducted using primary data, particularly in the Jimma zone, Ethiopia. Therefore, this study aimed to identify determinants of prelabor rupture of membrane among pregnant women attending governmental hospitals in the Jimma zone, Oromia region, Ethiopia. Methods An institutional-based unmatched case-control study design was conducted from October 15 to December 15, 2021, at four governmental hospitals. A consecutive sampling technique was used to select 316 participants (79 cases and 237 controls). Women with prelabor rupture of the membrane were confirmed by history, sterile vaginal examination, and ultrasound as cases, and their counterparts as controls. An interviewer-administered questionnaire was used to collect data on maternal (obstetric, medical, behavioral) and fetal-related characteristics. The data were entered into Epi Data version 4.6 and analyzed using SPSS version 25. Descriptive statistics, bi-variable, and multivariable logistic regression were computed. The odds ratio with a 95% confidence level was used, and the significance level was declared at a p-value < 0.05. Results A total of 316 participants (79 cases and 237 controls) were included in this study. Pregnancy-induced hypertension (AOR = 3.06, 95% CI: 1.41–6.64), history of abortion (AOR = 3.67, 95% CI: 1.56–8.65), urinary tract infections (AOR = 2.61, 95% CI: 1.13–6.06), abnormal vaginal discharge (AOR = 2.65, 95% CI: 1.21–5.79), maternal khat chewing (AOR = 3.40, 95% CI: 1.70–6.80), mid-upper arm circumference less than 23 cm (AOR = 2.80, 95% CI: 1.51–5.19), and fetal presentation (breech) (AOR = 2.63, 95% CI: 1.10–6.28) were determinants of prelabor rupture of membrane among pregnant women. Conclusion This study revealed that the aforementioned factors were found to be determinants of prelabor rupture of membrane among pregnant women. Therefore, hospitals should give focus to the early screening, diagnosis, and treatment of pregnancy-induced hypertension, urinary tract infection, and abnormal vaginal discharge to reduce the burden of prelabor rupture of membranes.

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Section: Discussionsupporting

confidence: 76%

Section: Introductionmentioning

confidence: 99%

Determinants of prelabor rupture of membrane among pregnant women attending governmental hospitals in Jimma zone, Oromia region, Ethiopia: A multi-center case-control study

Assefa,

Chane,

Teme

et al. 2023

PLoS ONE

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“…This might predispose membrane to trauma and rupture through effacement and dilation of the cervix ( 14 , 22 ). Furthermore, the women with unsafe abortion are at greater risk to suffer from intra-amniotic and intrapartum infections, which may result in PROM ( 13 , 23 ). Preventing unsafe abortion and providing high-quality post-abortion care (PAC) can help to reduce the adverse health consequences of unsafe abortion.…”

Section: Discussionmentioning

confidence: 99%

Predictors and perinatal outcomes of pre-labor rupture of membrane among pregnant women admitted to Hiwot Fana Comprehensive Specialized University Hospital, Eastern Ethiopia: a retrospective study

Wolde,

Mulatu,

Alemayehu

et al. 2024

Front. Med.

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BackgroundPre-labor rupture of membrane (PROM) refers to a membrane rupture that occurs after the 28th week of pregnancy but before the start of labor. If not appropriately managed, it poses a significant risk to the health of the mother and fetus. However, information on the magnitude of PROM, contributing factors, and its perinatal outcomes was limited in Eastern Ethiopia. This study assessed the prevalence, predictors, and perinatal outcomes of PROM among pregnant women admitted to Hiwot Fana Comprehensive Specialized University Hospital (HFCSUH) in Eastern Ethiopia so as to guide specific preventive measures.MethodsA hospital-based retrospective cross-sectional study was carried out from May 15 to June 14, 2022, and data were gathered by reviewing the chart records of 424 pregnant women who were admitted to maternity and labor wards in the previous two years, from January 1, 2019 to December 31, 2020. Records were chosen using a simple random sampling method. Mother’s socio-demographic traits, previous obstetric and gynecologic history, current pregnancy history, habit-related history (khat chewing), ultrasound findings, laboratory investigations, mode of delivery, maternal and perinatal outcomes were extracted from the maternal charts. Bi-variable and multivariable logistic regression analyses were performed to identify predictors of pre-labor membrane rupture. The association between the explanatory and outcome variables was expressed using an adjusted odds ratio with a 95% confidence interval.ResultsThe prevalence of pre-labor membrane rupture was 16.27% with 95% CI: (13.05–20.11). Among 69 women who experienced pre-labor rupture of membrane, 50 (72.5%) of them had adverse perinatal outcomes. Of all 69 neonates 17 (24.64%) were delivered with low birth weight and 20 (29%) of them were born preterm. The overall perinatal mortality rate was 10.1% or 101 per 1,000 live births. History of abortion [AOR = 2.61; 95% CI (1.09, 6.24)], urinary tract infection [AOR = 2.59; 95% CI (1.23, 5.42)], antepartum hemorrhage [AOR = 3.35; 95% CI (1.38, 8.13)], and khat chewing (a leafy plant which contains psychoactive chemical) in the current pregnancy [AOR = 2.63; 95% CI (1.49, 4.63)] were all significantly associated with pre-labor rupture of membrane.ConclusionIn this study, the magnitude of pre-labor membrane rupture was relatively high compared to the global rate. Prenatal risk identification and early detection of complications among mothers with a history of abortion, antepartum hemorrhage, urinary tract infection, and counseling on the effects of khat chewing during pregnancy are crucial to reduce the likelihood of pre-labor membrane rupture and its adverse perinatal outcome.

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Assessment of Communication AFI and Uterocervical Angle with Pregnancy Duration in Patients with Pretem Premature Rupture of Membranes 24-34 Weeks

Abedini

Eshraghi

Amiri

et al. 2022

J Obstet Gynecol Cancer Res

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Background & Objective: Premature rupture of membranes (PROM) and preterm delivery are the most important problems observed in pregnancies that can cause many consequences. The present study investigated the relationship between amniotic fluid index (AFI) and uterocervical angle in patients with PROM between 24 and 34 weeks of gestation. Materials & Methods:This study was a cohort study carried out on 50 pregnant women with PROM. Inclusion criteria were 24 to 34 weeks of gestation and singleton deliveries. Demographic characteristics and pregnancy history of the subjects were determined through interviews and examinations. Moreover, AFI and uterocervical angle were determined based on ultrasound results. Subjects were followed up until delivery.Results: Mean age of the patients was 25.14±5.32 years; 23 patients (46%) had delivery latency less than 7 days. The mean uterocervical angle in the delivery latency group ≤7 was significantly higher than that in the group more than 7 days (P <0.001). Moreover, the mean AFI in the delivery latency group ≤7 was significantly higher (P <0.001). The uterocervical angle above 107.7 with a sensitivity of 87% and a specificity of 88.9% had a predictive power and its area under curve (AUC) was 0.912 (P <0.001). The mean AFI below 5.4 with a sensitivity of 81.5% and a specificity of 65.5% had a predictive power (AUC: 0.866, P <0.001). Conclusion:Uterocervical angle and AFI can be good predictors for assessing delivery latency in women with PROM. Furthermore, the mean uterocervical angle in the delivery latency group ≤7 days is significantly higher than that in the group more than 7 days, but conversely AFI is less.

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Maternal Risk Factors of Premature Rupture of Membrane (PROM) after 37 Weeks of Pregnancy

Cited by 3 publications

References 15 publications

Determinants of prelabor rupture of membrane among pregnant women attending governmental hospitals in Jimma zone, Oromia region, Ethiopia: A multi-center case-control study

Determinants of prelabor rupture of membrane among pregnant women attending governmental hospitals in Jimma zone, Oromia region, Ethiopia: A multi-center case-control study

Predictors and perinatal outcomes of pre-labor rupture of membrane among pregnant women admitted to Hiwot Fana Comprehensive Specialized University Hospital, Eastern Ethiopia: a retrospective study

Assessment of Communication AFI and Uterocervical Angle with Pregnancy Duration in Patients with Pretem Premature Rupture of Membranes 24-34 Weeks

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