Premature Rupture of Membranes Characteristics, Determinants, and Outcomes of in Benghazi, Libya ()
ABSTRACT
Premature rupture of membranes (PROM) is a frequent phenomenon that
occurs in about 4% - 7%. However, the associated sequent problems are
proportionally high. Almost two thirds of PROM are spontaneous, common
risk factor young mother, multiple pregnancy, genital tract infection, previous
preterm delivery. The complications range from induction of labour, caesarean
section, fetal pulmonary morbidity and even mortality. Objectives of the Study:
To identify and quantify the risk factors and complications of premature
rupture of membrane in pregnant women in Benghazi, Libya, 2012. Material and Methods:
100 pregnant women diagnosed as PROM were examined for the physical signs. Detailed
gynaecological and obstetric history was reported. Laboratory investigations
included cervical swabs and posterior fornix swabs under aseptic conditions
Drugs including types of antibiotics, Dexamethasone and tocolytics were also
included. Results: The mean age of 100 patients was 28.9 years. Most of them, 66.1%
of patients received antibiotis mostly Erythromycin. Dexamethasone was given
for 32.1%. FTND accounted for 62% and PTND for 10% and Caesarean section was
performed for 28%. The main indications for C/S were failed induction, in 50%,
11.8% were equally distributed between; macrosomia, previous scars, drained
liquor, previous C/S, breech presentation. Only 1% of new born babies had complication. Conclusions
and Recommendations: Further large studies should be done for more elaboration and
analytical studies to quantify the strength of each risk factor. Strategy for
management of PROM should be adopted for proper timing of induction, emergency
caesarean intervention with ultimate goals of minimizing and or preventing
maternal and fetal complications of disease.