Fetal behavior as a predictor of intra-amniotic infection in preterm premature rupture of membranes

ABSTRACT

A total of 50 patients between 26 and 34 weeks, with diagnosis of preterm premature rupture of membranes were managed conservatively unless if intraamniotic infection [I. A. I.] was proven in which case their pregnancy was immediately terminated. The fetal condition before delivery was evaluated by the biophysical profile score [BPP] carried out for all the patients. It was found that a low BPP sore [<6] was a good predictor of impending infection in patients with preterm premature rupture of membranes [PRROM]. There was a positive correlation between low BPP score and presence of other parameters of infection namely, elevated maternal temperature, high titer of C- reactive protein [CRP] increased total leucocytic count [TLC], and most importantly positive gram stain and cultures of leaked amniotic fluid