Original Articles
Outcome of neonates born to mothers with premature rupture of membranes
Authors:
Ramnath Reddy ,
Department of Paediatrics, Jawaharlal Nehru Medical College, Sawangi (M), Wardha, India, IN
About Ramnath
Junior Resident, Department of Paediatrics, Jawaharlal Nehru Medical College, Sawangi (M), Wardha, India
Anjali Kher
Department of Paediatrics, Jawaharlal Nehru Medical College, Sawangi (M), Wardha, India, IN
About Anjali
Professor, Department of Paediatrics, Jawaharlal Nehru Medical College, Sawangi (M), Wardha, India
Abstract
Introduction: Premature rupture of membranes (PROM) refers to rupture of fetal membranes prior to the onset of labour regardless of the gestation. It complicates about 8% to 10% of term pregnancies and approximately 1% of preterm pregnancies.
Objectives: To assess the outcome (morbidity/ mortality) of neonates born to mothers with PROM and to assess the prevalence of PROM in the Acharya Vinoba Bhave Rural Hospital (AVBRH), Sawangi (Meghe), Wardha, Maharashtra, India.
Method: This is a prospective observational study, conducted in the Department of Paediatrics, AVBRH, over a 2 year period with a sample size of 125 neonates born to mothers with history of PROM (≥ 8 hours).
Results: The male to female ratio was 0.8 and the ratio of normal vaginal delivery (NVD) to lower segment caesarean section (LSCS) was 1.85. Common associated morbidities were respiratory distress (30.4%), clinical sepsis (28.8%), culture positive sepsis (9.6%), birth asphyxia (5.6%), pneumonia (2.4%) and meningitis (2.4%). Neonates with blood cultures positive for coagulase negative staphylococcus and pseudomonas had 100% mortality. Mortality rate in neonates born to mothers with a history of PROM was 2.4%, sepsis and birth asphyxia being the leading causes of mortality.
Conclusions: The prevalence of PROM ≥8 hours’ duration in mothers of in AVBRH was 2.93%. The mortality rate was 2.4%, sepsis and birth asphyxia being the leading causes of mortality.
Sri Lanka Journal of Child Health, 2020; 49(3): 256-262
How to Cite:
Reddy, R. and Kher, A., 2020. Outcome of neonates born to mothers with premature rupture of membranes. Sri Lanka Journal of Child Health, 49(3), pp.256–262. DOI: http://doi.org/10.4038/sljch.v49i3.9144
Published on
05 Sep 2020.
Peer Reviewed
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