Study to detect infection and diagnose chorioamnionitis to aid in management of cases of preterm premature rupture of membranes in a tertiary care centre of Jharkhand

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dc.contributor.authorDutta, Indranien_US
dc.contributor.authorHoro, Usha Madhulikaen_US
dc.date.accessioned2024-09-24T10:58:44Z
dc.date.available2024-09-24T10:58:44Z
dc.date.issued2023-10
dc.description.abstractBackground: The present study undertaken is to identify the risk factors causing Preterm premature rupture of membranes (pPROM) and to study fetal and maternal outcome associated with pPROM, to diagnose and manage chorioamnionitis associated with pPROM and to evaluate levels of C reactive protein (CRP).Methods: This study was conducted in the department of obstetrics and gynaecology, Rajendra institute of medical sciences from March 2019 to February 2020.50 cases of confirmed preterm premature rupture of membrane before 35 weeks of pregnancy were taken as cases and 50 cases of normal pregnancy (28-40 weeks) were taken as controls.Results: Highest incidence of premature rupture of membrane was among 20�-year (68%) age groups. Incidence of premature rupture of membrane was more in low socioeconomic status (72%). Maximum incidence of premature rupture of membrane in 31-33 weeks gestational age (52%). Most cases of premature rupture of membrane in 24�-hour group (38%). Most of study group (90%) and control group (80%) delivered by vaginal route. 11 study cases with clinical chorioamnionitis had elevated CRP (43.5 mg/l). One presented with clinical chorioamnionitis. CRP was most sensitive (92%). Total maternal morbidity was due to puerperal pyrexia (22%). Four patients with neonatal sepsis had CRP>6 mg/l. CRP and presence of polymorphs in gastric aspirate have 100% association with septicemia in neonates.Conclusions: Preterm premature rupture of membrane can be associated with adverse foetal and maternal outcome if immediate measures are not taken.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, RIMS, Ranchi, Jharkhand, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, RIMS, Ranchi, Jharkhand, Indiaen_US
dc.identifier.citationDutta Indrani, Horo Usha Madhulika . Study to detect infection and diagnose chorioamnionitis to aid in management of cases of preterm premature rupture of membranes in a tertiary care centre of Jharkhand. International Journal of Reproduction, Contraception, Obstetrics and Gynecology . 2023 Oct; 12(10): 2935-2940en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/234696
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber10en_US
dc.relation.volume12en_US
dc.source.urihttps://doi.org/10.18203/2320-1770.ijrcog20232859en_US
dc.subjectPretermen_US
dc.subjectChorioamnionitisen_US
dc.subjectSepticemiaen_US
dc.subjectNeonateen_US
dc.subjectMorbidityen_US
dc.titleStudy to detect infection and diagnose chorioamnionitis to aid in management of cases of preterm premature rupture of membranes in a tertiary care centre of Jharkhanden_US
dc.typeJournal Articleen_US
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