Determinants and Complications of Pre-Labour Rupture of Membranes (PROM) At the University of Calabar Teaching Hospital (UCTH), Calabar, Nigeria
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 5
Abstract
The management of pre-labour rupture of membranes (PROM) has been a challenging problem for decades in Obstetrics. The pregnancy complications are increased before term because of the increased risk of infection, preterm labour and prematurity. The objectives were to determine the prevalence, socio-demographic characteristics, risk factors and complications of women with PROM at UCTH, Calabar. This was a retrospective study of cases of PROM managed at UCTH over a 4 year period (January 2010 to December 2013). During the study period, there were 11,241 deliveries and 218 cases of PROM giving a prevalence of 1.94%. The mean age of the study population was 26.2± 6.7 years while the mean parity was 2.4± 1.9. Majority (49%) of the study population had PROM between 37 to 39 weeks. The commonest risk factor for PROM was previous history of PROM 79(41.2%), while 45(23.4%) of the population studied had no identifiable risk factor. A total of 31(16.2%) of the babies with PROM had birth asphyxia, while 16(8.3%) had neonatal death. Fetal complications of PROM were more among preterm PROM with neonatal jaundice, birth asphyxia and neonatal sepsis the commonest. PROM is a major complication of pregnancies and an important cause of perinatal morbidity and mortality. Currently, there is no effective way of preventing spontaneous rupture of fetal membranes. However, it is important that women be well informed regarding maternal, fetal and neonatal complications. Early presentation to the hospital and interventions will improve neonatal outcomes of patients with PROM. Keywords: Premature rupture of membranes (PROM), preterm labour, birth asphyxia, neonatal sepsis, pregnancy, Calabar.
Authors and Affiliations
Emechebe C. I C. I, Njoku C. O, Anachuna K, Udofia U
Keywords
Related Articles
- EP ID EP372847
- DOI -
- Views 83
- Downloads 0
Sino Ocular Zygomycosis Caused by Syncephalastrum recemosum in a Diabetic Patient
Invasive sinooccular Zygomycosis is a fulminant opportunistic disease often affecting poorly controlled diabetics of all agescommonly caused by genera Rhizopus, Mucor and Rhizomucor. Syncephalastrum racemosum belongs to...
Surgery for Elephantiasis of the lower limbs Dieng P. A, Diatta S, Ba P.O, Ba P.S, Gaye M, Diop M. S, Sow N. F, Fall M. L, Ciss A.G, Ndiaye A, Ndiaye M
Untreated acute lymphedema leads to elephantiasis. Anatomical deformities cause disability and psychological issues. Several types of treatment have been used by practicians since the Antiquity. The aim of this study is...
A Prospective Study on Management of Intertrochantric Fractures in Elderly Osteoporotic Patients using Cemented Bipolar Hemiarthroplasty
Inter trochanteric fractures or Hip fractures are devastating injuries that most commonly affect the elderly and have a tremendous impact on both the health care system and society in general. The objective is to study t...
Variable Origin of Testicular Artery from Renal Artery and Its Clinical Significance in North Indian Population
Testicular arteries are paired vessels that normally originate from the abdominal aorta at the level of second lumbar vertebrae and the testicular arteries may variable at their origin and arise from the renal artery, su...
SpirometricEvaluation inAsthmaticsTaking Formoterol/Budesonide V/S Salmeterol/Fluticasone
Abstract: Asthma is a heterogeneous disease, usually characterized by chronic airway inflammation. It is defined by the history of respiratory symptoms such as wheeze, shortness of breath, chest tightness and cough that...