Journal of AdvancedMedical and Dental Sciences Research

Background: Premature rupture of membranes refers to the breaking of the amniotic sac or the bag of waters before the onset of labor in a pregnant woman. The present study was conducted to assess outcome of cases of premature rupture of membrane. Materials & Methods: 82 cases of premature rupture of membrane in women with > 37 weeks of gestation was enrolled. A detailed pelvic examination was done. As per speculum examination, discharge, leaking p/v and colour of liquor were recorded. Maternal outcome was also recorded. Results: Rupture of membrane to delivery interval was <16 hours seen in 30, 16-20 hours in 45 and >20 hours in 7 cases. Indication for LSCS (32) was fetal distress in 21, failure to progress in 5, malpresentation in 5 and failed induction in 1 case. The difference was significant (P< 0.05). Maternal outcome was UTI in 12, adherent placenta in 5, chorioamniotisin 8, fever in 21, wound infection in 5, PPH in 2, maternal mortality in 3 and puerperal sepsis in 7 cases. The difference was significant (P< 0.05). Conclusion: Maternal morbidity was associated with increased duration of PROM.Management of PROM should involve completeevaluation of risks and benefits of conservative management.