Abstract

Introduction: Premature rupture of membrane (PROM) is connected to noteworthy maternal pre-birth mortalities and morbidity. The result of maternal and fetal in PROM is imperative to diminish maternal and child mortality and for better administration and anticipation of complexities. Premature rupture of membrane (PROM) refers to the interruption of fetal layers previously the start of work, bringing about unconstrained spillage of amniotic liquid. PROM, which happens before 37 weeks of incubation, characterized as preterm PROM as PROM, happens following 37 weeks growth characterized as term PROM. The etiology of PROM is accepted to be multifactorial and several risk factors have been distinguished. Factors incorporate multigravida, low socio-economic status, concomitant infection e.g. UTI, vulvovaginitis, anaemia,  past the point of no return introduction of side effects, H/O Polyhydramnios, irregular ANC, low socio-economic status and a background marked by preterm PROM of preterm work. There is scarcity of information on clinical profile and result of PROM in tertiary focal point of Bangladesh, so as to address this issues, this examination was intended to explore the clinical profile and result of pregnancy of untimely break of layer (PROM). Diagnosis and proper management is critical to confine different fetal and maternal complexities for the most part because of disease. Hence, this investigation means to decide maternal and fetal results in PROM among term pregnant ladies who were admitted to the maternity or work ward in Hospital.

Objectives: To determine the sociodemographic Profile and feto-maternal outcome of Preterm premature rupture of membrane (PROM).

Materials and Methods: This is cross sectional observational study; amongst 50 women with H/O PPROM were included in this study. Sociodemographic attributes were evaluated. Ruptures of membrane with an APH, serve pre- eclampsia, eclampsia, malpresentation were excluded from study.

Result: Sociodemographic highlights, e.g., age, habitation, occupation, financial status, and so forth are the prime determinants of result of PROM. In this study, the age of the patients went between 17->35 years, mean age was 23.5 ± 9.54 years. Vast quantities of respondents originated from urban region 53.0%, and financially poor class 26(52%). The vast majority of the ladies were multigravida (62%). Around 74.2% were analyzed around 34-37 week of development. Introduction of PROM or span of side effects went from 40 minutes to most extreme 2 days. The greatest country amass patients displayed after beginning of side effects >12 hours i.e. 8(42.11%) patients. The postponement in hospitalization increases the intensifying of ailment process and improvement of entanglement, at last poorer result. On the other hand patients hailing from urban dwelling hospitalized at the earliest opportunity after sign-manifestations improvement. On evaluation of pregnancy outcome, study shows that most of the PROM women conveyed by LUCS (82.0%). Most normal complication was subclinical urogenital infection (36.0%) next oligohydramnios (32.0%) and (16.0%) women presented with chorioamnionitis. Among the infants, 26% had Apgar score beneath 7 at their first min of age and 10% had Apgar score underneath 7 at their 5 min of age. Birth asphyxia was been developed in total 6 newborn. Hospital admission to released, legitimate workup and assessment was performed in all patients. Overall result demonstrates that 92.0% of the PROM women recouped either totally or partially, 8.0% remains stop; it might be because of wound disease or other fundamental ailment. Besides, maternal mortality happened. However, 37(74.0%) of neonates recovered during hospital stay, yet 11(22.0%) built up any difficulties and till were hospitalized under neonatal care. Two patients were expired. So, neonatal death rate was 2(4.0%) subject in this study.

Conclusion: Women living in rural areas, lower class, long latency, and neonates with birth weight less than 2500 g may have adverse outcomes. In this case, optimum obstetric and medical care is essential for the diminishment of the staggering inconveniences related to disorders.

Keywords: PROM, Preterm PROM, Demogrpaphic features, Outcome.