Background: This is an Prospective observational analytical study carried out in department of obstetrics and Gynecology,Hi-Tech Medical College & Hospital, Bhubaneswar, in a tertiary care center to determine the factors influencing fetal and maternal outcome, prognosis, morbidity and mortality in preterm premature rupture of membrane cases.

Methods: The present study is a prospective observational study of perinatal and maternal outcome in 100 cases of preterm premature rupture of membranes in between 34-37 weeks gestation with singleton pregnancy, from 1st Nov 2016 to 31^st Oct 2018. Patients with medical complications like anemia, preexisting hypertension, diabetes, vascular or renal disease, multiple gestations, uterine or fetal anomalies etc. are excluded from the study. Detailed history, physical examinations were carried out and appropriate management instituted as per individual patients need.

Results: In this study maternal morbidity was 35%. Perinatal morbidity was 68% and most common causes were hyperbilirubinemia (23%), Sepsis (15%). Perinatal mortality was seen in 1% and mainly due to very LBW. Fifty Eight (58%) neonates were delivered by cesarean. The main indications for cesarean being fetal distress (43.3%) followed by non progress of labour (36%).

Conclusions: PPROM is one of the important causes of preterm birth that can result in high perinatal morbidity and mortality along with maternal morbidity. Looking after a premature infant puts immense burden on the family, economy and health care resources of the country. An understanding of gestational age dependent neonatal morbidity and mortality is important in determining the potential benefits of conservative management of preterm PROM at any gestation.

Keywords: PPROM, Perinatal morbidity.

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Dr Ramakanta Sahoo

3rd yr PG Student, Dept. of Obstetrics & Gynaecology, Hi-Tech Medical College & Hospital, Bhubaneswar, 751010 , Odisha, India

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