A Study on the Management and Perinatal Outcome of Preterm Prelabour Rupture of Membranes at Delta State University Teaching Hospital, Oghara.
Keywords:PPROM, Perinatal outcomes
Background: Preterm Prelabour Rupture of Fetal Membranes and its management is a significant burden in obstetrics, occurring in 2–3% of all pregnancies and leading to 30–40% of preterm births. It is therefore a significant risk factor for perinatal morbidity and mortality arising from its association with fetal prematurity. The aim of this study was to review the management and perinatal outcome of PPROM in Delta State University Hospital, Oghara.
Methods: This was a descriptive retrospective study conducted in the Department of Obstetrics and Gynaecology, Delta State University Teaching Hospital from January 2011 to December 2015. The study included 80 pregnant patients presenting with Preterm prelabour rupture of membranes between 28 to 36weeks+6days.
Results: The prevalence of PPROM was 5.7%. Majority of the women were aged between 30-34 and ≥35 years and the mean parity was 1.48±1.55. 37% of the patients presented between 28-31 weeks. No apparent risk factor for PPROM was identified in 26% of the patients. 43% had vaginal delivery and mean birthweight of the babies was 1.53±0.52kg. Majority of the preterm neonates had first and fifth minute Apgar scores greater than 7. Perinatal mortality was 18.8% in this study.
Conclusion: Premature Prelabour Rupture of Membrane is associated with poor fetal outcomes arising from the problems of prematurity and neonatal sepsis. A clear understanding of its consequences is essential in providing adequate interventions needed in the prevention of
unfavourable perinatal outcomes.
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