EXPECTANT OR IMMEDIATE DELIVERY? A REVIEW OF MANAGEMENT OUTCOMES OF PRETERM PRELABOR RUPTURE OF MEMBRANE

Dr. Bhatu Jaydeep, Dr. Nilesh Chauhan

Abstract


Introduction: Preterm premature rupture of membranes (PPROM) is the spontaneous rupture of the fetal membranes during pregnancy before 37
weeks gestation in the absence of regular painful uterine contractions .It increases the risk of prematurity and leads to other perinatal and neonatal
complications with 1-2% risk of fetal death .
Materials and Methods: Medical records were reviewed by using the predesigned proforma records of women who had PROM during the study
period were retrieved and data extracted .Information sort were socio-demographic characteristics (maternal age, parity, occupation and gestational
st age), birth weight, Apgar scores at 1 and 5thminutes, need for neonatal resuscitation and admission to new born special care unit fetal outcome.
Conclusion: There is no substantial reduction in risk of sepsis and prematurity in the immediate delivery group .Better outcome in delayed delivery
may be explained due to our management protocol of antibiotic and steroid administration.Expectant management and immediate delivery are
potential options in these patients, and each has its own merit and demerits


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References


Stuart EL, Evans GS, Lin YS, Powers HJ. Reduced collagen and ascorbic acid concentrations and increased proteolytic susceptibility with prelabor fetal membrane rupture in women. Biol Reprod 2005; 72:230-235

Vermillion ST, Soper DE, Chasedunn-Roark J. Neonatal sepsis after betamethasone administration to patients with preterm premature rupture of membranes. Am J Obstet Gynecol 1999; 181: 320-327

Hill MJ, McWilliams GD, Garcia-Sur D, Chen B, Munroe M, Hoeldtke NJ. The effect of membrane sweeping on prelabor rupture of membranes: a randomized controlled trial. Obstetrics & Gynecology. 2008 Jun 1;111(6):1313-9.


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