Maternal and fetal outcomes in term premature rupture of membrane in mizan aman general hospital, snnpr, south west Ethiopia

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.