Study on maternal and fetal outcomes in term prelabour rupture of membranes in a tertiary care teaching institute

Abstract

Objectives and Methods: A retrospective study was conducted to investigate the maternal and fetal outcomes in term PROM by analysing the medical records of 246 patients, from February 2020 to July 2020. Data was entered in excel and analysed by SPSS version 21.0. Descriptive statistics was used for categorical variables.Results: Incidence of term PROM was 14% and it is common in primi gravida (54.9%), age group of 22 – 25 years (42%). 73.6% of cases had induction followed by acceleration and 26.4% went for spontaneous labour. The time of delivery from PROM was 10% in <12 hours, 59% in 12 -24 hours and 31% in >24 hours. Vaginal delivery in 50.81% of cases and 49.19% by LSCS. Among the maternal co-morbidities, Pregnancy Induced Hypertension 6.1%, anemia 2.8% and Rhesus Negative 2.4%. 18.7% of neonates needed NICU care.Conclusion: PROM is associated with higher rate of induction and LSCS. Timely intervention will reduce the maternal and fetal morbidity and mortality.