Persisting Menace of Pre Labour Rupture of Membranes Persisting Dilemmas.
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Date
2015-05
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Abstract
Objective : Prelabour rupture of membranes
(PLROM) is common obstetric problem ,one of most
common clinical events where normal pregnancy can
turn into high risk situation for mother as well as fetus.
Present study was to know incidence of term, preterm
PLROM, association with parity ,body mass index,
anaemia, cervical / vaginal colonization,cervical score,
amniotic fluid index. Material and Methods : Study
included 550 women of 18-35 years of age, 28-42 weeks
of gestation who had presented with watery vaginal
discharge in whom membrane rupture was confirmed.
Results : Incidence of PLROM was 6.28% of births,
4.62% term births, 1.65% preterm births. Mean age of
women was 24 years, mean BMI was 21.9. Ninety seven
percent of women with PLROM were anaemic 18% of
women had growth of microbes in cervical vaginal
swabs.Forty eight percent women had cervical score less
than zero, four percent had severe oligoamnios.
Conclusion : Study revealed higher incidence of
term,preterm PLROM in patients with anaemia, genital
infection.By identifying, modifying risk factors we can
help reduce maternal, fetal morbidity ,mortality associated
with term, preterm PLROM
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Keywords
preterm, term, prelabour rupture of membranes, parity, infection, anaemia
Citation
Chhabra S., Kalra P., Shrivastava P. Persisting Menace of Pre Labour Rupture of Membranes Persisting Dilemmas. Indian Medical Gazette. 2015 May; 149(5): 179-186.