Analysis of factors increasing the risk of prelabour rupture of membranes and its effect on fetomaternal outcome

Perinatal morbidity and mortality due to prelabour rupture of membranesPROM) is 18-20% 21.4% respectively. Multiple risk factors are associated with the development PROM. Limited data available on term PROM relation its duration adverse maternal fetal outcomes from India. To assessfactors increasing effect membranes fetomaternal outcome. Five hundred ten patients presented in Department Obstetrics Gynaecology, Sultania Zanana Hospital, Gandhi Medical College, Bhopal, Madhya Pradesh (M.P.) December 2018 February 2019 were studied. After detailed history, sociodemographic details, for neonatal recorded. was more common women age 21-25years (73.3%), who housewife (92.5%), underweight (21.37%), rural area (58.4%), belong lower SES (62.8%) primigravida (59.2%). Majority leaking 13-24 hours (70.2%). (85.64%) had spontaneous onset labour less than 24 28(14.35%) went into after Most factor malpresentation (46.52%) followed by history (30.04%), Polyhydramnios (13.19%), multiple pregnancy (10.99%) febrile illness (6.96%). Out 312 vaginal delivery, induced 87.82% women. The most indication Caesarean section previous 1 LSCS (13.1%), distress (8.6%), breech presentation (7.3%) cephalopelvic disproportion (2.9%). presenting delivered vaginally (61.2%), while 38.8% underwent caesarean section. 529 babies, 6.24% admitted NICU. neonates 3 days (39.39%). poor outcome timely diagnosis prompt management required better