PERINATAL OUTCOME OF PRETERM PRELABOUR RUPTURE OF MEMBRANES BETWEEN 32-37 WEEKS OF PREGNANCY - A PROSPECTIVE STUDY

DR A.PRABHA; DR P.SUGANTHI

Volume : IX, Issue : VIII, August - 2020

PERINATAL OUTCOME OF PRETERM PRELABOUR RUPTURE OF MEMBRANES BETWEEN 32-37 WEEKS OF PREGNANCY - A PROSPECTIVE STUDY

Dr A. Prabha, Dr P. Suganthi

Abstract :

AIM: The aim of this study is to systematically compare the induction of labour and expectant management in case of preterm premature rupture of memanes between 32 and 37 weeks in terms of neonatal sepsis ,RDS, maternal health, health-related quality-of-life and costs. OBJECTIVES: 1)To study active versus expectant management in preterm premature rupture of memanes (PPROM) between 32-37 weeks of pregnancy. 2)To estimate the prevalence, identify the risk factors & perinatal outcome of preterm premature rupture of memanes. MATERIALS AND METHODS: This study was conducted in govt Thiruvaur medical college , Thiruvarur from December 2018 to November 2019 with ethical committee approval. 108 patients with gestational age of 32-36 completed weeks with confirmed ROM, Singleton pregnancy, primi ,multigravida in the age group between 15-35 years were randomly allocated to active and expectant management groups. The admission, management procedures and events during delivery ,puerperium and neonatal outcome were studied. RESULTS: The incidence of PPROM was 3.56%. It was high in 34-36 weeks of gestation. The mean MRO duration during admission was 14.91 hours, admission to delivery interval 15.81 hours. The incidence of LSCS in active management is 32.12 % whereas in expectant group is 16.9%.The duration of mother hospitalization and post-operative complications like fever, auption placenta were not statistically associated with active and expectant management (p>0.05). A statistically significant (p=0.007) differentiation in neonatal hospitalization, RDS were noted in both groups. Admission delivery interval was significant in both 32-34 as well as 34-36 weeks preterm PPROM. CONCLUSION: The incidence of PPROM is comparatively low because of improved living conditions and regular obstetric care. Active management by means of induction of labour between 34-36 completed weeks and expectant management between 32-34 weeks is safer for mother and fetus in pregnancies complicated by PPROM.