COMPARISON OF EARLY PREGNANCY OUTCOME WITH AND WITHOUT PREMATURE RUPTURE OF MEMBRANE

Abstract

BACKGROUND & OBJECTIVE: Preterm labor is associated with a high rate of mortality for mother and neonate that may be with or without premature rupture of membrane (PPROM). The goal of this study was to compare the pregnancy outcome in these two conditions, thus with prediction of condition of the mother and neonate to provide necessary care for them to decrease maternal and neonatal complications. METHODS: This descriptive, analytical and cross sectional study was performed on 100 patients with PPROM (group1) and 100 patients without PPROM (group 2) in Yahyanejad hospital in Babol. Apgar score at 1st and 5th minutes, need to neonatal resuscitation and referring neonates to NICU and also the rate of chorioamnionitis and maternal cesarean were compared in two groups.FINDINGS: The apgar score of ≤3 at the 1st and 5th minutes and need to neonatal resuscitation in two groups showed no statistically significant differences (8%, 4% and 29% in group 1 and 7%, 3% and 38% in group 2, respectively) but referring neonates to NICU was significantly different in two groups (45% in group 1 and 60% in group 2) (p<0.05). The prevalence of chorioamnionitis and cesarean section in group 1 (0% and 25%, respectively) was less than group 2 (17% and 37%, respectively) (p<0.05).CONCLUSION: This study show that the rate of chorioamnionitis, cesarean section and the need of neonates to refer to NICU in group 2 were more than group 1. So it is suggested to pay more attention to prevention, diagnosis and early treatment of preterm labor with PPROM.

Keywords

• preterm labor
• chorioamnionitis
• apgar score
• resuscitation