Prevalence and Determinants of unfavorable Maternal and Neonatal Outcome in Term Premature Rupture of Membrane

Authors

  • Israa Kamal Qasim1 , Ilham Ali Salman2

DOI:

https://doi.org/10.37506/ijfmt.v14i4.11760

Keywords:

Term PROM, maternal, fetal, mortality, Iraq.

Abstract

Aim of study: To determine the prevalence of maternal and fetal outcomes in PROM among term pregnant
women and to discover the risk factors that increase the rate of PROM.
Patients and Methods: A cross sectional study included 80 pregnant women diagnosed with term PROM
(after 37 weeks of gestation) and gave birth in the hospital or attended to labor ward with leaking of
liquor before onset of labor and delivered at our labor ward. Information about maternal age, occupation,
gestational age, residence, parity, mode of delivery, antenatal care visits, duration of PROM, and postpartum
complications as sepsis or hemorrhage. Information regarding neonates’ Apgar score at 1 and 5 minutes,
birthweight, admission to neonate intensive care unit.
Results: In this study, 35% of them showed unfavorable outcome, 16.3% of mothers complained from
postpartum hemorrhage; 21.2% of neonates were admitted to NICU; and 15% of babies were weighing <
2.5 kg. The highest prevalence of unfavorable maternal outcome in this study was seen among women living
in rural area (45.5%), in those who didn’t receive ANC (31.6%), and in those who had PROM for 24 hours
or more (29.4%). Unfavorable fetal outcome in this study was seen among women who didn’t receive ANC
(36.8%), and in those who had PROM for 24 hours or more (33.3%).
Conclusion: Unfavorable maternal or fetal outcome is not uncommon among women with PROM.
Prolonged duration of PROM and lack of ANC visits were a significant associated factors. So, an early
accurate diagnosis of PROM is essential for favorable outcome in pregnancy and thus it decreases the
maternal and fetal morbidity

Author Biography

  • Israa Kamal Qasim1 , Ilham Ali Salman2

    1(M.B.Ch.B, F.I.C.O.G) Obstetrician/ Department of Gynecology and Obstetrics , AL-Yarmouk Teaching Hospital,
    MOH; Baghdad, Iraq, 2 (M.B.Ch.B, C.A.B.O.G) Obstetrician / Department of Gynecology and Obstetrics, AlYarmouk Teaching Hospital, MOH; Baghdad, Iraq.

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Published

2020-10-29

How to Cite

Prevalence and Determinants of unfavorable Maternal and Neonatal Outcome in Term Premature Rupture of Membrane . (2020). Indian Journal of Forensic Medicine & Toxicology, 14(4), 1530-1537. https://doi.org/10.37506/ijfmt.v14i4.11760