Maternal and fetal outcome in term premature rupture of membrane in tercha general hospital, south Ethiopia

Abstract

Background: Premature rupture of membranes (PRom )is the rupture of membrane before onset of uterine contraction . It can be either preterm or term premature rupture of membrane. Preterm PROM is rupture of membrane at any time before onset of uterine contraction before 37 weeks and after 28 weeks of gestational age .PROM at term refers to a patient who is beyond 37 weeks' gestation and has presented with rupture of membranes (ROM) prior to the onset of labor It represents one of the most frequent and most controversial problem obstetricians are faced with In Ethiopia, where maternal mortality is still high, the maternal and fetal outcomes in PROM is very important to decrease maternal and child mortality and for better management and prevention of complication. Objectives: To determine maternal and fetal outcomes and associated factor in term premature rupture of membrane, in Tercha General hospital, south Ethiopia. Method-Hospital based cross-sectional study design conducted on mothers who admitted to Tercha hospital for term Premature rupture of membrane from January 1/2015 G.C- December 31/2016 GC. Data extracted using check list from patients(medical) record. The data checked, entered and analyzed using SPSS version 22. A 95% CI and p-value of <0.05 considered to be statistically significant. Result- There were 124 mothers had their pregnancy complicated by term PROM of which twenty one (16.9%)of mothers were unfavorable maternal outcome, of unfavorable maternal outcome fourteen(13.7%) of them were complicated by puerperal sepsis followed by six (4.8%) wound site infection and the rest one (0.8%) of them were others (pneumonia, urinary tract infection and unknown cases).Out of the study subject one (0.8%) maternal deaths due to puerperal sepsis. There were twenty nine (23.4%)of the fetus had unfavorable outcome. Twenty three (18.5%) of the fetus were 1st minute Apgar score below normal. Conclusions- The result of this study shows that, PROM is a high risk obstetric condition which is a common problem among pregnant women and a big challenge to the neonatologists.