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Volume 4 Issue 1 (January - February, 2016)

Original Articles

Assessment of maternal outcome in patients with premature rupture of membrane
Sonali Navani

Background: Preterm premature rupture of membranes (PPROM) is the spontaneous rupture of membranes before 37 weeks of gestation. The present study was conducted to assess maternal outcome in patients with premature rupture of membrane. Materials & Methods: 70 cases of premature rupture of membrane with > 37 weeks of gestation were enrolled. Maternal outcome was recorded. Results: The indication for LSCS was malpresentation in 5, failed induction in 4 cases, failure to progress in 20 and fetal distress in 6 cases. Rupture of membrane to the delivery interval was <16 hours seen in 20, 16-20 hours in 42 and >20 hours in 8 cases. The difference was significant (P< 0.05). Maternal outcome was adherent placenta in 3, wound infection in 2, PPH in 3, fever in 25, puerperal sepsis in 10, UTI in 4, chorioamniotis in 21, and maternal mortality was seen in 2 cases. The difference was significant (P< 0.05). Conclusion: A longer PROM period was linked to maternal morbidity. Fevers, puerperal sepsis, UTIs, chorioamniotis, adherent placentas, wound infections, PPH, and maternal death were the maternal outcomes.

 
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