Israa Kamal Qasim1 , Ilham Ali Salman2
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Prevalence and Determinants of unfavorable Maternal and Neonatal Outcome in Term Premature Rupture of Membrane Israa Kamal Qasim1 , Ilham Ali Salman2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.11760

Abstract

Aim of study: To determine the prevalence of maternal and fetal outcomes in PROM among term pregnantwomen 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 ofliquor 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 postpartumcomplications 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 frompostpartum 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 livingin rural area (45.5%), in those who didn’t receive ANC (31.6%), and in those who had PROM for 24 hoursor 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 earlyaccurate diagnosis of PROM is essential for favorable outcome in pregnancy and thus it decreases thematernal and fetal morbidity