FETOMATERNAL OUTCOME OF PREGNANCY COMPLICATED BY PRETERM PREMATURE RUPTURE OF MEMBRANES

ABSTRACT
Objective: To study the fetomaternal outcome of pregnancy complicated by preterm premature rupture of membranes.
Methods: This prospective observational study was conducted in the Department of Obstetrics and Gynecology,
Hayatabad Medical Complex, Peshawar a tertiary care hospital in Peshawar, Khyber Pakhtunkhwa, Pakistan from 1st
January 2016 to 31st December 2016. A total of 138 patients were studied after fulfilling inclusion and exclusion criteria.
Booking status was assessed .Maternal outcome was assessed. Fetal outcome was assessed in relation to latency
period, gestational age at delivery and birth weight of the baby.
Results: Among 138 patients 16 cases were booked and 122 were unbooked. Chorioamnionitis (CA) was found in
23.91%, abruption 3.62%, retained placenta 4.34%, PPH 2.17% and endometritis in 5.07% in case of early PPROM,
while in late PPROM the incidence of CA was 6.52%, abruption and retained placenta 0%, PPH 1.44% and endometritis
5.79%. Neonatal sepsis was found in 15.94%, RDS 38.40% and physiological jaundice in 26.08% in case of early
PPROM, while in late PPROM the incidences were 6.25%,10.86% and 17.39% respectively.
Conclusion: In our study majority of the patients were unbooked. Chorioamnionitis was the commonest maternal
morbidity both in early and late PPROM. RDS was commonest fetal complication followed by physiological jaundice
and neonatal sepsis.
Key Words: PPROM, maternal morbidity, fetal morbidity and mortality