ABSTRACT
Preterm premature rupture of membranes is one of the important causes of premature birth that can result in high perinatal morbidity and mortality along with maternal morbidity. The definition of premature rupture of membranes is rupture of membranes before labour and before 37 weeks of gestation is referred as Preterm PROM. If the membrane rupture is after 37 weeks of gestation, it is Term PROM. The incidence of PPROM ranges from 3 - 10 % of all deliveries and it contributes to 30 - 40 % of all preterm births. METHODSA prospective observational study of clinical analysis of the PPROM in 100 cases of 28 - 37 weeks of gestation which were delivered by caesarean section was conducted from 2018 October to 2019 September in the Department of Obstetrics and Gynaecology of Chalmeda Anand Rao Institute of Medical Sciences, Bommakal, Karimnagar. RESULTSPrevalence of PPROM in the study is 7.8 %. Intra amniotic infection was seen in 32 %. The mean latency period from rupture of membranes to delivery is 3.78 + 2.74 days. 25 % neonates were delivered by caesarean section. There was a total of 12 % perinatal deaths, still births - 4 %, 10 % - early neonatal deaths. CONCLUSIONSIn the current study, the prevalence of PPROM was 7.8 %. Careful antenatal monitoring, detection and prompt treatment of infection is necessary. Strict septic precautions, appropriate therapy, regular antenatal follow up are important factors in the prevention of PPROM. Close antenatal monitoring, identification of risk factors like cervicovaginal infection and their management play an important role in the prevention of PPROM.