Pre-labor rupture of membranes and associated factors among pregnant women admitted to the maternity ward, Northwest Ethiopia

Telayneh, Animut Takele; Ketema, Daniel Bekele; Mengist, Belayneh; Yismaw, Lieltework; Bazezew, Yibelu; Birhanu, Molla Yigzaw; Habtegiorgis, Samuel Derbie

doi:10.1371/journal.pgph.0001702

Cited by 4 publications

(3 citation statements)

References 39 publications

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“…Given that variable gestational age was obtained in this study's bivariate analysis with chi squares test and had a p-value of 0.022 α< (0.05), it is possible to draw the conclusion that there is a significant correlation between gestational age and the likelihood of an early rupture of membranes in preterm pregnancy. This is consistent with the research conducted by Takele et al [26] the results of the multivariate analysis showed an AOR: 3.28 (95% CI: 1.53, 7.02), meaning that pregnant women under 37 weeks had a 3.28-fold increased risk of PROM compared to those between 37 and 40 weeks. This research supports the findings of Diriba et al study, which found a correlation between the mother's gestational age and the likelihood of an early membrane rupture with a p-value of 0.018<α (0.05) [16].…”

supporting

confidence: 92%

Factor related to preterm premature rupture of membrane among pregnant women

Sofiana,

Wahyuningsih,

Meilani

2024

IJPHS

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The incidence rate of premature rupture of membranes in Yogyakarta, Indonesia was 10.1%, the highest rate in Indonesia. This study's goal was to determine factors related to premature rupture of membranes among pregnant women in Sardjito Hospital. There were 220 pregnant women, 110 in the premature rupture of membranes or case group and 110 no premature rupture of membranes as control group. Urinary tract infection, anemia, and preterm premature rupture of membrane and the characteristics were the research factors. The Chi-square test and logistic regression were used to examine the data. Secondary data from medical records for the period January 2021 December 2022 was taken. Result of this study showed that 49.1% of the pregnant women in the case group had anemia, and 47.3% had urinary tract infections. In the control group had anemia 30.9% of pregnant women, while urinary tract infections infected 61.8% of them. Urinary tract infections and anemia were associated with a greater incidence of preterm premature rupture of membranes, according to a bivariate analysis with p-values of 0.042 and 0.009 (p-value=0.05). Anemia was the most significant factor associated with the incidence of preterm premature rupture of membranes (OR=2.26).

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supporting

confidence: 92%

Factor related to preterm premature rupture of membrane among pregnant women

Sofiana,

Wahyuningsih,

Meilani

2024

IJPHS

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“…Khanduri et al suggested that a rise in AFI is the earliest and the most sensitive predictor for GDM [48], a finding that may eventually lead us to conclude that new targeted fasting glucose levels in GDM patients with EGWG should be sought out. The significant differences in PROM prevalence in the EGWG group is most probably related to the AFI rise as well [49].…”

Section: Discussionmentioning

confidence: 92%

Gestational Weight Gain, Pregnancy Related Complications and the Short-Term Risks for the Offspring

Lackovic,

Jankovic,

Mihajlovic

et al. 2024

JCM

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Background and objectives: Maternal obesity influences pregnancy course in several different manners, and imbalanced nutrition during pregnancy may lead to various adverse pregnancy outcomes. Additionally, nutritional status during pregnancy may have implications for the health of the offspring and may possibly influence early motor development in children. The aim of this study was to assess the impact of excessive gestational weight gain (EGWG) on pregnancy outcomes and infant’s motor development within the first twelve months of life. Materials and methods: The study included 200 participants divided in two groups based on their gestational weight gain. Maternal, perinatal, and neonatal factors were analyzed, and early motor development was assessed using the Alberta infant motor scale (AIMS). Results: EGWG was significantly associated with: pre-pregnancy BMI (p < 0.001), family history for cardiovascular diseases (p = 0.013) and diabetes mellitus (p = 0.045), hypertensive disorder of pregnancy (p = 0.003), gestational diabetes mellitus (p < 0.001), gestational anemia (p = 0.001), vitamin D deficiency (p = 0.001), metformin use (p = 0.045), pre-labor premature rupture of membranes (p = 0.031), amniotic fluid index (p = 0.047), and APGAR score in the first five min of life (p = 0.007). Scored by AIMS, EGWG was significantly associated with parameters of early motor development at the age of three AIMS total (p < 0.001), six AIMS total (p < 0.001), nine AIMS total (p < 0.001), and twelve AIMS total (p < 0.001) months of infant’s life. Conclusions: The link between EGWG and adverse neurodevelopmental outcomes in offspring is a complex and multifaceted issue. Our results imply significant alterations in early motor development in the group of infants born from mothers who gained weight excessively during pregnancy. Further studies are needed to unravel the intricacies of this relationship and inform strategies for preventive interventions and supportive care during pregnancy and infancy.

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“…Pre-labor rupture of membranes (PROM), preceding the onset of labor, occurs in about 2–3% of pregnancies and is a precursor to many preterm births [ 1 ]. Globally, PROM is identified as a leading contributor to preterm births [ 2 ], and its consequences can be severe, including intra-amniotic infection, fetal distress, neonatal sepsis, and heightened perinatal mortality and morbidity [ 3 , 4 ]. The prevailing hypothesis in the recent literature suggests that the genesis of PROM is multifactorial, with environmental air pollution emerging as a notable variable of concern [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Maternal Exposure to Environmental Air Pollution and Premature Rupture of Membranes: Evidence from Southern China

Yang,

Xu,

et al. 2024

Med Sci Monit

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Background Exposure to air pollution (AP) during pregnancy is associated with pre-labor rupture of membranes (PROM). However, there is limited research on this topic, and the sensitive exposure windows remain unclear. The present study assessed the association between AP exposure and the risk of PROM, as well as seeking to identify the sensitive time windows. Material/Methods This retrospective study analyzed 4276 pregnant women’s data from Tongling Maternal and Child Health Hospital from 2020 to 2022. We obtained air pollution data, including particulate matter (PM) with an aerodynamic diameter of ≤2.5 μm (PM 2.5 ), particulate matter with an aerodynamic diameter of ≤10 μm (PM 10 ), nitrogen dioxide (NO 2 ), and ozone (O 3 ), from the Tongling Ecology and Environment Bureau. Demographic information was extracted from medical records. We employed a distributed lag model to identify the sensitive exposure windows of prenatal AP affecting the risk of PROM. We conducted a sensitivity analysis based on pre-pregnancy BMI. Results We found a significant association between prenatal exposure to AP and increased PROM risk after adjusting for confounders, and the critical exposure windows of AP were the 6 th to 7 th months of pregnancy. In the underweight group, an increase of 10 μg/m 3 in PM 2.5 was associated with a risk of PROM, with an odds ratio (OR) of 1.48 (95% CI: 1.16, 1.89). Similarly, a 10 μg/m 3 increase in PM 10 was associated with a risk of PROM, with an OR of 1.45 (95% CI: 1.05, 1.77). Conclusions Prenatal exposure to AP, particularly during months 6–7 of pregnancy, is associated with an increased risk of PROM. This study extends and strengthens the evidence on the association between prenatal exposure to AP and the risk of PROM, specifically identifying the critical exposure windows.

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Pre-labor rupture of membranes and associated factors among pregnant women admitted to the maternity ward, Northwest Ethiopia

Cited by 4 publications

References 39 publications

Factor related to preterm premature rupture of membrane among pregnant women

Factor related to preterm premature rupture of membrane among pregnant women

Gestational Weight Gain, Pregnancy Related Complications and the Short-Term Risks for the Offspring

Maternal Exposure to Environmental Air Pollution and Premature Rupture of Membranes: Evidence from Southern China

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