Maternal and perinatal outcome of preterm premature rupture of the membranes at perinatal center, Philippine Children's Medical Center (A three-year retrospective study)

ABSTRACT

A retrospective study of seventy four patients with preterm premature rupture of the membranes admitted at Perinatal Center, Philippine Childrens Medical Center, was done. The mean gestational age at diagnosis of preterm premature rupture of the membranes was 31 weeks. The interval from rupture to delivery ranged from three days to sixty one days with a mean of 4.1 days. There was no correlation between gestational age at the time of rupture and latency period. Twenty patients received steroids and twenty received tocolytics. Twenty nine of the seventy four patients received antibiotics. There was no reported maternal mortality. The mean gestational age at the time of delivery was 32.48 weeks +/-2.3 weeks. The 74 patients resulted to 76 births. There were 3 neonatal deaths and 1 stillbirth. In patients 32 weeks, the perinatal survival rates was 25% while it was 94% with gestational age 32 weeks (p 0.05). There was no significant difference in the perinatal outcome among steroid and non-steroid groups and among antibiotic and non-antibiotic groups.