Abstract:
Background: Premature mature rupture of membrane is represents one of the most frequent and
most controversial problem obstetricians are faced with. The amniotic membranes other than
having a continuative function for amniotic fluid, the latter fundamental for fetal growth, also
needs to be considered as a barrier that protects the fetus and maintains the amniotic fluid
sterile away from the vagina and prevents prolapsed of its contents into the cervix.
Objectives: To determine maternal and Fetal outcomes and associated factor in term premature
rupture of membrane, In MizanAman general hospital, Bench Maji zone,
Method-Hospital based cross-sectional retrospective study design was conducted from 185
mothers who had term Premature rupture of membrane in Mizan Aman General Hospital, Bench
Maji zone south west Ethiopia from January 1/2011 G.C- December31/2013 GC. Data were
collected using check list based on registration books. The data were checked entered and
analyzed using SPSS version 20. Descriptive were used to assess the frequency of dependent and
independent variable, Binary logistic regression was used to examine association between
dependent and each independent variables. A 95% CI and p-value of <0.05 were considered to
be statistically significant.
Result: There were 22.2% unfavorable maternal outcomes. Maternal mortality and morbidity
complicated by 11.3% of puerperal sepsis followed by 6.0% of wound site infection. Around
33.5% were unfavorable Fetal outcome. 8.4% Fetal mortality, 11.9% Perinatal mortality and
21.6% Fetal morbidity complicated by Fetal infection. In the logistic regression duration of
Premature rupture of membrane >12hr (AOR=5.6, 95%CI; 1.3, 24.1) duration of premature
rupture of membrane to delivery >24hrs (AOR=2.8, 95%CI; 1.7, 11.8). Among the factors
associated with unfavorable maternal outcomes.
Duration of Premature rupture of membrane >12hr (AOR=12, 95%CI; 2.8, 51.7) Fetus who
needs ICU admission (AOR=11.3, 95%CI; 6.8, 18.9) Meconium stained color of liquor
(AOR=9.9, 95%CI; 3.3, 33.7).Among the factors associated with unfavorable Fetal outcomes
Conclusion and Recommendation: There is increased maternal and Fetal morbidity &
mortality is directly related to Premature Rupture of Membrane. Therefore the delivery should
be within a reasonable period of time. Improved antenatal care service utilization, optimum
obstetric and medical and Fetal cares are essential for the reduction of the devastating
complications related to these disorders.
