Determinants of Premature Rupture of Membrane (PROM) and Feto Maternal Outcome in a Tertiary Care Hospital of Bangladesh
DOI:
https://doi.org/10.70818/iarjmsr.2025.v06i01.0155Keywords:
PROM, Feto-Maternal Outcome, Obstetrics and GynecologyAbstract
Background: Premature rupture of membranes (PROM) affects 4% to 10% of full-term pregnancies globally. PROM accounts for roughly one third of all preterm births. Aim: To find out the feto-maternal outcome of Premature Rupture of Membrane with it’s risk factors. Methods: It was a hospital based prospective study conducted in the Department of Obstetrics and Gynecology in Dinajpur Medical College & Hospital, Dinajpur. Study participants were 50 admitted patients with Pre-mature Rupture Of Membrane (PROM) in the Obstetrics and Gynecology Department. Data was collected by a checklist and structured Bangla questionnaire and analysis was done by using SPSS version 20. Results: Majority of PROM patients belonged to the age group 21-24 years which was 19 (38.0%). The mean (±SD) age of the patients was 26.04±5.2 years. A total of 35 (70.0%) patients delivered within 24 hours of rupture of membrane and 9 patients (56.2%) had past history of MR or abortion, 3 (18.8%) had history of PROM in previous pregnancy. A total of 23 (46.0%) cases had sexual contact within 1 week of rupture of membranes. E.Coli was the most common pathogen 5 (41.7%) associated with positive High vaginal Swab (HVS) culture. Majority of the patients 31 (62.0%) developed labour pain within 12 hours of PROM. Sixteen (32.0%) patients developed morbidity included puerperal sepsis, UTI, PPH, wound dehiscence, and retained placenta. APGAR score at 5 minutes was >7 in 30 (60%). Out of 47 alive babies- 19 (40.4%) were affected by the consequences of PROM and birth process. Among them asphyxia was more common 7 (35%) than other morbidities. Total 10 of them required admission in neonatal ward and most of the morbidity of the newborn appeared within 1 to 3 days of delivery. Conclusion: Early identification and management of PROM can reduce negative feto-maternal outcomes. Key risk factors including sexual intercourse, maternal health issues (like urinary tract and sexually transmitted infections), and previous obstetric history were explored. More randomized controlled trials with larger samples are needed for definitive insights.
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