Prelabour Rupture of Membranes: Mode of Delivery and Outcome

Authors

  • Vlora Ademi Ibishi 1University Clinical Center of Kosovo - Obstetrics and Gynecology Clinic, Prishtina, Kosovo
  • Rozalinda Dusan Isjanovska Institute for Epidemiology and Medical Biostatistics, Medical Faculty, Ss. Cyril and Methodius University of Skopje, Skopje

DOI:

https://doi.org/10.3889/oamjms.2015.037

Keywords:

prelabour rupture of membrane (PROM), latency period, mode of delivery, neonatal outcome, maternal complications

Abstract

BACKGROUND: Pre-labour Rupture of Membranes (PROM) is an important cause of maternal and fetal morbidity and increased rate of cesarean section delivery. 

AIM: The aim of this study is to investigate the clinical characteristics, PROM-delivery interval, mode of delivery, and early maternal neonatal outcome among pregnant patients presenting with pre-labour rupture of membranes.

MATERIAL AND METHODS: This prospective case control study is implemented at the Obstetric and Gynecology Clinic of the University Clinical Center of Kosovo. The study included 100 pregnant patients presenting with prelabour rupture of membranes of which 63 were primigravida and 37 patients were multigravida.

RESULTS: The incidence of cesarean section in this study is 28 % and the most common indications for cesarean delivery were fetal distress, malpresentation, cephalopelvic disproportion, and failed induction. The most common maternal complications in this study are chorioamnionitis, retained placenta and postpartum hemorrhage. Neonatal infectious morbidity was present in 16 % of cases.

CONCLUSION: PROM is a significant issue for obstetricians and an important cause of maternal and neonatal morbidity and increased rate of cesarean section delivery.

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References

Caughey AB et al. Contemporary diagnosis and management of preterm premature rupture of membranes. Rev Obstet Gynecol. 2008; 1(1): 11-22.

Keirse MJ, Ohlsson A, Treffers PE, Kanhani HHH. Prelabour rupture of the membranes preterm. In: Chalmers I, Enkin M, Keirse MJ, eds. Effective care in pregnancy and childbirth.Oxford: Oxford University Press, 1989:666.

Verber IG, Pearce JM, New LC, Hamilton PA, Davies EG. Prolllonged rupture of the fetal membranes and neonatal outcome. J Perinat Med. 1989; 17:469–76. DOI: https://doi.org/10.1515/jpme.1989.17.6.469

Mercer BM. Preterm premature ruptures of the membranes. Obstet Gynecol. 2003; 101:178–93. DOI: https://doi.org/10.1016/S0029-7844(02)02366-9

Tamsen L, Lyrenas S, Cnattingius S. Premature rupture of the membranes–intervention or not. Gynecol Obstet Invest. 1990; 29:128–31. DOI: https://doi.org/10.1159/000293318

Current Clinical Practice: Obstetrics in Family Medicine: A Practical Guide. P. Lyons © Humana Press Inc., Totowa: New Jersey, 2006.

Rouse DJ, Landon M, Leveno KJ, et al. The Maternal-Fetal Medicine Units cesarean registry: chorioamnionitis at term and its duration-relationship to outcomes. Am J Obstet Gynecol. 2004;191:211. DOI: https://doi.org/10.1016/j.ajog.2004.03.003

Mark SP, Croughan-Minihane MS, Kilpatrick SJ. Chorioamnionitis and uterine function. Obstet Gynecol. 2000;95:909. DOI: https://doi.org/10.1097/00006250-200006000-00024

Cohen-Wolkowiez M et al. Early and late onset sepsis in late preterm infants. The Pediatric Infectious Disease Journal. 2009; 28(12):1052-1056. DOI: https://doi.org/10.1097/INF.0b013e3181acf6bd

Hussin et al. Early rupture of membrane a risk factor for cesarean section in term pregnancy, FASCICULA XVII nr. 2, 2013.

Eslamian L, and Asadi M. The cesarean section rate in cases with PROM. Acta Medica Iranica. 2002; 40:2.

Chakraborty B et Al. Outcome of prelabor rupture of membranes in a tertiary care center in west Bengal. Indian Journal of Clinical Practice. 2013; 24(7).

Kunze M et al. Intrapartum management of premature rupture of membranes: effect on cesarean delivery rate. Obstet Gynecol. 2011; 118(6):1247-54. DOI: https://doi.org/10.1097/AOG.0b013e3182351b0c

Published

2015-04-24

How to Cite

1.
Ibishi VA, Isjanovska RD. Prelabour Rupture of Membranes: Mode of Delivery and Outcome. Open Access Maced J Med Sci [Internet]. 2015 Apr. 24 [cited 2024 Apr. 20];3(2):237-40. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2015.037

Issue

Section

B - Clinical Sciences