Maternal and Neonatal Outcomes of Expectantly Managed Pregnancies of Healthy Cases with Previable Rupture of Membranes at Qena University Hospital | ||||
| SVU-International Journal of Medical Sciences | ||||
| Volume 7, Issue 1, January 2024, Page 634-645 PDF (257.55 K) | ||||
| Document Type: Original research articles | ||||
| DOI: 10.21608/svuijm.2024.281079.1834 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mostafa Mohammad Khodry; Hanaa Mohammed  ; Ahmed Hashem Abdellah
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| Obstetrics and Gynecology Department, Faculty of Medicine, South Valley University University, Egypt. | ||||
| Abstract | ||||
| Background: Preterm rupture of membranes (PROM) affects 3% of pregnancies, with 0.4% experiencing second-trimester ROM. Gestational age at PROM strongly influences outcomes. Neonatal survival rates vary by gestational age. Short latency (<48 hours) after viability (>24 weeks) is associated with adverse outcomes. Objectives: Analyze maternal and neonatal outcomes in patients with previable rupture of membranes (PPROM) between 20-28 weeks of pregnancy. Patients and methods: Retrospective study at Qena University Hospital (June 2020-June 2022) on singleton pregnancies with PPROM. Inclusion criteria: no active labor, chorioamnionitis, fetal anomalies, iatrogenic ROM, or multiple gestations. Data collected: maternal demographics, obstetric history, gestational age at ROM, delivery, interventions; neonatal data including birth weight, Apgar scores, NICU admission, diagnoses, survival. Results: The mean age 26.72 ± 5.51 years and BMI 25.18 ± 4.44 kg/m^2, with 9.38% underweight, 37.5% normal weight, 34.38% overweight, and 18.75% obese. The average gravidity was 3 with a range of 0-8. Parity averaged 2 with a range of 0-7. The mean number of abortions was 1 with a range of 0-5, with 26.56% history of preterm labor. Maternal complications included chorioamnionitis (12.5%), sepsis (4.69%), and cord prolapse (7.81%). Neonatal viability was 67.19%. Among viable fetuses (N = 43), Apgar scores (1 min: 6.7 ± 2.32, 5 min: 7.07 ± 2.45), NICU admission (62.79%, stay: 8.01 ± 5.94 days), and NICU survival (37.21%, N = 35), with 74.42% overall viability. Conclusion: Challenges in early preterm births highlight the need for tailored care. Adverse neonatal outcomes underscore the necessity of targeted strategies for this vulnerable population. | ||||
| Keywords | ||||
| Maternal outcomes; Neonatal outcomes; ROP; Pregnancy Management | ||||
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