A Study of Maternal and Fetal Outcomes in Prelabour Rupture of Amnioticmembranes

Abstract

OBJECTIVES. The present study is undertaken to study the fetal and maternal outcomes in PROM  and  PPROM.

METHODSIn PPROM less than 34 weeks of gestational age one course of steroids were covered. After explaining the  risks  of chorioamnionitis, expectant management with meticulous monitoring of parameters of mother and fetal well being were done till the patient gets in to spontaneous labour or induction was done in indicated cases .

RESULTS:PROM was common in  primigravida.  Cesarean sections were more common among primigravidas. Fetal distress was the most common indication. There was no  maternal mortality in the study. Neonatal mortality in this was study 8%. Maternal morbidity was 22%. Neonatal morbidity was 28%.
CONCLUSION:PROM and PPROM are associated with many complications which can be reduced, by educating  the  women to have regular antenatal care, explaining  risk  factors predisposing to PROM and PPROM, correcting the risk factors if possible and report at the earliest.