Authors :
Yusuf Abisowo Oshodi; MuyideenOladipo Oyedeko; TawaqualitAbimbolaOttun; Fatimat Motunrayo Akinlusi; Joy OnyinyechiChionuma
Volume/Issue :
Volume 8 - 2023, Issue 3 - March
Google Scholar :
https://bit.ly/3TmGbDi
Scribd :
https://bit.ly/3KjDKi0
DOI :
https://doi.org/10.5281/zenodo.7783889
Abstract :
Term prelabour rupture of
membranescomplicates about 5% to 10% of term
pregnancies and imposes therapeutic challenges upon
the managing obstetrician. While spontaneous labour
followed by ruptured membranes is the accepted default
pathway towards delivery at term, comparative studies
on term PROM and spontaneous onset of labour
preceding ruptured membranes are scarce globally.
Objective: To compare maternal socio-demography and
neonatal outcomes of term PROM versus spontaneous
onset of labour before membrane rupturein our tertiary
facility.
Methods: A prospective comparative study of 300
subjects allocated intothe study group comprising 150
subjects with prelabour rupture of membranes and the
other 150 subjects with spontaneous labour before
membrane rupture as the control group. Data were
obtained on maternal sociodemographic characteristics
and neonatal outcomes in both groups.Epi-info statistical
softwarewas deployed for data analysis.
Results: The incidence of premature rupture of
membranes was 9.23%. Term PROM was highest in the
age group 20-29 years while subjects with low
socioeconomic status accounted for 58.7% in the study
group. The study group had higher caesarian delivery
than the control (22.6% versus 8.0%; P < 0.001). One
hundred and thirty-nine (139) babies of subjects in the
study group had APGAR scores> 7 compared to 149
babies of subjects in the control group (P < 0.001). More
neonates in the study group were admitted into the
Neonatal Intensive Care Unit (NICU) compared to the
control (6.7% versus 0.7%; P = 0.025). Seven neonates
in the study group had Neonatal sepsis compared to none
in the control group(P < 0.01). Similarly, three perinatal
death were recorded in the study group compared to
none in the control group (P = 0.06).
Conclusion: Actively managed term PROM was
significantly associated with unbooked maternal status,
poorer Apgar scores, higher rate of caesarian delivery,
and increased perinatal morbidity and mortality
compared to spontaneous labour before membrane
rupture.
Keywords :
term prelabour ruptured membranes, spontaneous labour before membrane rupture, maternal demography, neonatal outcomes.
Term prelabour rupture of
membranescomplicates about 5% to 10% of term
pregnancies and imposes therapeutic challenges upon
the managing obstetrician. While spontaneous labour
followed by ruptured membranes is the accepted default
pathway towards delivery at term, comparative studies
on term PROM and spontaneous onset of labour
preceding ruptured membranes are scarce globally.
Objective: To compare maternal socio-demography and
neonatal outcomes of term PROM versus spontaneous
onset of labour before membrane rupturein our tertiary
facility.
Methods: A prospective comparative study of 300
subjects allocated intothe study group comprising 150
subjects with prelabour rupture of membranes and the
other 150 subjects with spontaneous labour before
membrane rupture as the control group. Data were
obtained on maternal sociodemographic characteristics
and neonatal outcomes in both groups.Epi-info statistical
softwarewas deployed for data analysis.
Results: The incidence of premature rupture of
membranes was 9.23%. Term PROM was highest in the
age group 20-29 years while subjects with low
socioeconomic status accounted for 58.7% in the study
group. The study group had higher caesarian delivery
than the control (22.6% versus 8.0%; P < 0.001). One
hundred and thirty-nine (139) babies of subjects in the
study group had APGAR scores> 7 compared to 149
babies of subjects in the control group (P < 0.001). More
neonates in the study group were admitted into the
Neonatal Intensive Care Unit (NICU) compared to the
control (6.7% versus 0.7%; P = 0.025). Seven neonates
in the study group had Neonatal sepsis compared to none
in the control group(P < 0.01). Similarly, three perinatal
death were recorded in the study group compared to
none in the control group (P = 0.06).
Conclusion: Actively managed term PROM was
significantly associated with unbooked maternal status,
poorer Apgar scores, higher rate of caesarian delivery,
and increased perinatal morbidity and mortality
compared to spontaneous labour before membrane
rupture.
Keywords :
term prelabour ruptured membranes, spontaneous labour before membrane rupture, maternal demography, neonatal outcomes.
