Maternal and Fetal Outcome in Actively Managed of PROM at Elhasahisa Teaching Hospital 2020

Abstract

Esra Mohammed Osman Meisara Seed Ahmed, Basheir Algaily and Mohammed Hammad Jaber

Background Prelabour rupture of membrane (PROM) is linked to significant maternal perinatal mortalities and morbidity. Objectives: To evaluate maternal and fetal outcome in pregnant ladies that actively managed due to PROM at Elhasahisa Teaching Hospital, from March 2020 to September 2020.

Methods This is an observational, descriptive, cross sectional hospital-based study, conducted in the period from March 2020 to September 2020 at Elhasahisa Teaching Hospital included pregnant ladies that actively managed due to PROM. The data was collected by the researcher from women after informed consent. The data was analyzed by computer using SPSS- version 25.

Results A total of 104 pregnant ladies that actively managed due to PROM were enrolled in this study, the frequency of PROM was 3.8%, about 53 (51.0%) women in age group 20-35 years (mean age 26.03), 99 (95.2%)of ladies were literate . 63 (60.6%) women received antenatal dexamethasone, 75 (72.1%) had duration of membrane rupture of less than 24 hours and 29 (27.9%) women has duration of membrane rupture of more than 24 hours, 50 (48.1%) women received oxytocin, 45 (43.3%) women received castor oil and oxytocin and 9 (8.7%) women received castor oil, 81 (77.9%) women delivered vaginally, 23 (22.1%) women underwent caesarean section, maternal complication included postpartum haemorrhage was found in 11 (10.6%), sepsis in 6 (5.8) and postpartum haemorrhage and sepsis in 1 (1.0%) woman, mean Apgar score at 5 minute was found to be 9.23 (p value 0.000), fetal complications included respiratory distress in 19 (18.3%) babies, 2 (1.9%) babies referred and 1 (1.0%) baby was stillbirth.

Conclusion Maternal outcomes in pregnant ladies that actively managed due to PROM were postpartum haemorrhage and sepsis, no admission to ICU and no maternal mortality. Fetal outcomes in pregnant ladies that actively managed due to PROM were RDS, FSB, Apgar score less than 7 and referred. the frequency of pregnant ladies actively managed due to Pre Labour Ruptured of Membrane was 3.8%. The successful rate of induction of labour due to Pre Labour Rupture of Membrane was 77.9%.

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