Treatment Options and Outcome of Premature Rupture of Membranes at Zagazig University Hospitals

Abstract

Background: PROM "premature rupture of membrane" is defined as a spontaneous leakage of amniotic fluid from the amniotic sac before onset of labor.

Objecitve: The aim of this work was to verify better management and improve outcome of PROM cases.

Patients and Methods: A prospective cohort study was conducted at High Risk Pregnancy Room, Emergency Hospital Obstetrics and Gynecology Department, Faculty of Medicine, Zagazig University. It included 80 women with PROM. The study was between August 2019 and March 2020. All patients were subjected to detailed history taking, general, obstetric examination, and laboratory Investigations.

Results: The gestational age at labor was 35.6 weeks compared to gestational age at PROM, which was 34.3 weeks; the difference was statistically significant, mean increase of gestational age was 1.27 weeks. The incidence of postpartum complication was 1.25% of mothers in the form of chorioamnionitis.

Conclusions: that conservative procedures like antibiotics, corticosteroids, tocolytics and magnesium sulphate could prolong latency period, improves the fetomaternal outcome and decreases the need for incubators.