An analysis of factors affecting the duration of latency period in patients with pre term premature rupture of membranes in a tertiary care centre

Abstract

Introduction: Identification of predictive factors for the duration of the latency period may help obstetrician in risk stratification and providing consultation for women presenting with PPROM. Correct diagnosis and timely intervention is the bottom line to strike a delicate issue of prematurity thereby optimizing the feto-maternal outcome. Material and Methods: A total of 51 patients presented with PPROM to department of obstetrics and gynaecology TMMC & RC, Moradabad during period July 2018-2019. After detailed history and examination, patients were investigated and evaluated for various factors affecting the duration of latency period in patients with PPROM. Results: About sixty percent of females presenting with PPROM were in lower age group with mean age of 23.07 +/- 4.27 years, low body mass index with mean BMI of 20.7 kg/m2 and belonging to low socio economic group. All clinical and investigative parameters of infection were related to decreased latency period. Conclusion: Prevention of PPROM is challenging, however incidence can be reduced only by identifying pregnant women at risk and providing adequate preventive counselling, monitoring and adequate treatment.