Pre-labour spontaneous rupture of membranes

ABSTRACT

The fetal membranes and liquor are essential for the survival of the fetus. If the membranes rupture early, the fetus is exposed to various risks. As a result of it, perinatal morbidity and mortality rate rises. A total of 125 patients with prelabour spontaneous rupture of membranes were studied. The incidence was found to be 7.09%. The perinatal mortality rate was 275/1000 total births, as compared to 84.7/1000 in the yearly hospital statistics. The women were mostly primigravidae, predominantly in third decade of life. The perinatal mortality and morbidity showed a direct relationship with rupture of membranes-delivery interval, duration of gestation, the apgar scores and weights of the infants. The perinatal mortality and morbidity reached up to 100% in cases of preterm prelabour spontaneous rupture of membranes. As rupture of membrane-delivery interval increases, the risks to the fetus due to infection, prematurity and oligohydramnios also increase. The baby should be delivered soon after rupture of membranes. In case of a preterm baby, the solution lies in an efficient neonatal care