Maternal & Foetal Outcome in Cases of Pre-Labour Rupture of Membranes

Abstract

OBJECTIVE: In this study, we aimed to evaluate maternal & foetal outcome in cases of pre-labour rupture of membranes. STUDY DESIGN: This was a prospective study of 200 cases of pre-labour rupture of membranes coming to the METHOD: The cases included were singleton pregnancies with gestational age of 28 weeks or more with spontaneous rupture of membranes. Cases with severe PIH / Eclampsia / severe anemia, with any medical disorder and absolute indication of LSCS were excluded from study. Mother observed for maternal morbidity i.e. PPH, retained placenta, puerperal pyrexia, subinvolution of uterus, wound infection, phlebitis& endometritis. Condition and weight of newborn at the time of delivery was noted. Condition of baby during its hospital stay was observed carefully. All infants were observed for neonatal morbidity and perinatal mortality. Maternal & neonatal morbidity and mortality recorded. RESULTS : In our study total maternal morbidity was 21.5% total neonatal morbidity was 24.5%. The most common neonatal morbidity noted in our study was neonatal septicemia followed by birth asphyxia &pneumonia. Total perinatal loss was 13%. There was definite increase in maternal morbidity, neonatal morbidity &perinatal mortality with increase in duration between rupture of membranes & delivery. CONCLUSION: Maternalmorbidity, neonatal morbidity&perinatal mortality increases as interval between ROM & delivery increases.