Incidence, Risk Factors and Pregnant Outcomes of Premature Rupture of Membranes: A Cross Section Study
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- Category: Vol. 89, June 2021
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Incidence, Risk Factors and Pregnant Outcomes of Premature Rupture of Membranes: A Cross Section Study, MOHAMED EL-HUSSENY RADWAN
Abstract
Background: Premature births are responsible for 27.0 per cent of annual child deaths globally, 70.0 per cent of prenatal mortality in developed countries and 50.0 per cent of neurological disorders. Obstetric risk factors include: Cer-vical incompetence, multiple gestation, limited birth cycles, history of abortion, premature membrane breakup, and prior preterm labour. In the meantime, pregnancy conditions such as respiratory disorders and hypertension are the most common direct causes of preterm birth. Bleeding during labour, poly-hydramnios or oligohydramnios, foetal abnormalities including, in particular, numerous organ systems and central nervous system abnormalities. Aim of Study: The purpose of this research was to measure the prevalence rate of PPROM among pregnant women in order to identify risk factors associated with PROM and fetal/neonatal outcomes. Patients and Methods: Is to calculate the incidence rate of PPROM among pregnant women attending Zagazig Uni-versity hospital, and to identify the fetal/neonatal outcome and potential factors associated with poor fetal/neonatal outcome.This is a cross-section study, performed at the ER Department of Zagazig University Hospitals for Vaginal Delivery, from July 2020 to January 2021, of 138 women with premature membrane abduction. Result: Risk factors for cases were 30 with no risk factor (21.7%), 16 with prior PROM (11.6%), 12 with multi-pregnancy (8.7%), 24 with Antepartum (17.4%). There was a statistically meaningful disparity between the outcomes of the infants in relation to the risk factors of the mothers. In the cases of the infants of strong APGAR there was a latent period of 8.89 (±6.64 SD) for cases where the infants required an O2 incubator there was a latent period of 9.73 (±5.69 SD). There was no statistically significant difference between the outcomes of the infants in relation to the latent period. Conclusion: From this study, it can be inferred that low socio-economic, younger, illiterate partitioning women have been shown to cause a rise in PPROM. Such hazards may impact both maternal and neonatal outcomes such as infection, maternal pain, foetal distress, increased surgical delivery, and the need for neonatal intensive care in more than 50 per cent of neonates.