Perinatal Outcome in Premature Rupture of Membranes (PROM) and Pre-Prom (PPROM)

OBJECTIVES This study aimed to evaluate the maternal and fetal outcomes in PROM PRE-PROM at tertiary care hospitals. METHODOLOGY Cross-sectional was carried out department of obstetrics gynaecology Khyber Teaching Hospital Peshawar after ethical approval institutional board. Patients who fulfilled inclusion criteria were selected. On arrival, detailed history taken, physical obstetrical examination per speculum done, patients managed conservatively, steroid cover given for lung maturity. RESULTS A total 150 pregnant women met complicated by or followed. Out patients, 104 presented with PROM, while 46 PPROM. PPROM identical regarding placental abruption. 104(69.3%) 46(30.7%). delivered 72(52%) normal vaginal delivery (NVD), 57(38%) C-Section, 15(10%) NVD episiotomy. In 54(63%) spontaneous, 18(12%) induced, C-Section 6(4%) elective 51(34%) emergency C-Section. chorioamnionitis, distress meconium stained liquor 18(12%), whereas 100 uneventful, PPROM, 122(81.3%) had no complications, 10(6.7%) chorioamnionitis 40.7% neonates NICU admission. The personal effects on duration PROM/ days p-value 0.027. Complications 0.037. CONCLUSION increased morbidity, infection, urinary tract infection should be promptly screened treated time prevent morbidities improve outcomes.