Maternal mortality: A hospital based study in thirty nine years
Objective: The aim of this study was to see the maternal and fetal outcome of preterm pre labor rupture membrane and to identify the risk factors for preterm pre labor rupture membrane. Methods And Material: This was a comparative study between the study (PROM) and control group conducted at 2 hospitals attached to M.R.Medical College, Gulbarga in the Department of Obstetric and Gynecology. 100 pregnant women with preterm premature rupture of the membrane (gestational age 28-0 to 36-6 weeks)
... e included in this study. And 100 pregnant women without PROM before 37 completed weeks are taken into control Results: The mean age of the women was 23±3.5 years and 53% of them were primigravida. 13% was malpresentations and 10% h/o recent coitus were the major risk factors. Incidence of PPROM is 33.8%. 64% had spontaneous labor within 24 hours. 73% percent patient delivered by vaginal route and 27% patients had LSCS twenty six percent newborn suffered from respiratory distress syndrome and 14% of neonatal sepsis. 11% patients had puerperal fever and 3% chorioamnionitis. Seven percent had early neonatal death. Conclusion: Antenatal diagnosis to prevent PPROM by identifying the risk factors is a important tool in management. Steroid for fetal lung maturity, antibiotics to prevent fetal and maternal infection and induction and/ or augmentation of labor will speed delivery and reduce hospital stay and infection.