Prevalence and outcome of Preterm Premature Rupture of Membranes (PPROM) among pregnant women attending Ain Shams maternity hospital | ||||
| The Egyptian Journal of Community Medicine | ||||
| Article 10, Volume 36, Issue 2, April 2018, Page 99-107 PDF (334.32 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejcm.2018.11055 | ||||
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| Abstract | ||||
| Background: Preterm premature rupture of membranes (PPROM) is one of the leading identifiable causes of premature birth and it accounts for high rates of perinatal deaths in developed and developing countries. Objectives: The study was conducted to measure the prevalence of PPROM among pregnant women attending Ain Shams maternity hospital, and to identify the fetal/neonatal outcome among pregnant women presented with PPROM and potential factors associated with poor fetal/neonatal outcome. Method: A cross sectional study was conducted on two phases using data retrieved from computerized hospital information system (HIS), Ain Shams Maternity Hospital. Data about all deliveries from 2011-2015 was revised from Hospital Information System to calculate the frequency of PPROM during these years. A sample of 300 medical files of pregnant women who were diagnosed with PPROM before 37 weeks and admitted to the hospital in the year 2015 were then extracted from the hospital archive and revised using a checklist developed by the investigators. Relevant data was obtained from these medical files. Results: Prevalence of PPROM ranged from 2.4% in 2011 to 4.7% in 2015 with the highest rate during 2013 (5.3%). Only 4.3% of women presented with PPROM developed chorio-amnionitis. Regarding fetal outcome, 61.3% of infants developed a poor fetal outcome including; (fetal death and ICU admission), while 38.7% of infants had good fetal outcome (alive & well). By multivariate analysis women employment (OR 1.9 CI 1.2 – 3.5), gush type of PPROM (OR 1.9 CI 1.4 – 3.6), history of chorioamnionitis (OR 14.5 CI 12.4 – 132.1), delivery by CS (OR 2.5 CI 2.01 – 4.5) and later gestational age at PPROM (OR 0.8 CI 0.2 – 0.9) were significant independent predictors of poor fetal outcome. Conclusion & Recommendations: Prevalence PPROM at Ain Shams maternity hospital is increasing during study duration with fetal/neonatal complications that necessitate proper antenatal care and proper management. | ||||
| Keywords | ||||
| PPROM; Fetal outcome; Ain Shams; maternity hospital | ||||
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