Premature rupture of membrane and associated factors among pregnant women admitted to maternity wards of public hospitals in West Guji Zone, Ethiopia, 2021

Abstract

Background: Premature rupture of membranes is an important cause of perinatal morbidity, and mortality, and complicates about 8% to 10% of pregnancies. Preterm birth and prematurity are a result of premature rupture of membranes and are often associated with fetal lung hypoplasia, respiratory distress syndrome, intraventricular hemorrhage, neonatal sepsis, and even death. This study aimed to assess the prevalence & factors associated with premature rupture of membranes among pregnant mothers admitted in West Guji zone public hospitals. Methods: A facility-based cross-sectional study design was conducted, from April 9 to June 9, 2021. A systematic random sampling method was employed to select 407 study participants from pregnant mothers admitted to labor and delivery wards in selected public hospitals. The data collection consisted of a structured and interviewer-administered questionnaire, chart review, and measurement of the height, and weight of mothers. Data were entered and coded in Epi data version 3.1 and exported to SPSS 25 version for analysis. In bivariable logistic regression analysis, variables with a p-value < 0.25 were entered into multivariable logistic regression and statistical significance was declared at P < 0.05 with AOR and 95%CI. Result: A total of 407 study participants were included with a 100% response rate. About 12.5% (95%CI, 9.5–16.1) of the study participants had premature rupture of membranes. Gestational age < 37 weeks, (AOR = 2.5: 95%CI, 1.16–5.25), a history of premature rupture of the membranes, (AOR = 6, 95%CI, 1.88,-19.16), a history of abortion, (AOR = 2.5, 95%CI, 1.21–6.52), abnormal vaginal discharge, (AOR = 6.9, 95%CI 2.87–16.6), urinary tract infection, (AOR = 3.3, 95%CI, 1.07–10.12), and lower genital tract infections, (AOR = 4.5, 95%CI, 1.81–11.22) were factors associated with premature rupture of membranes. Conclusion: The prevalence of premature rupture of membranes was high relative to worldwide prevalence. All pregnant women should be screened and treated for urinary tract infection, lower genital tract infection, and vaginal discharge.

Keywords

• PROM
• Associated factors
• Pregnant Mothers
• Ethiopia