Maternal and neonatal outcome in cases of preterm premature rupture of membranes after 34 weeks of gestation

Background: Preterm premature rupture of membrane (PPROM) is associated with various maternal and neonatal complications. The study was carried out to determine the various maternal and neonatal outcomes associated with rupture of membranes beyond 34 weeks of gestation. Methods: It was a prospective study carried out in Govt .Rajaji hospital for a period of 5 months from March 2019 to July 2019. All the pregnant women with rupture of membranes after 34 weeks are included in the study. After establishment of diagnosis of rupture of membranes, antibiotics were started and all of them were induced after 6 hours if they did not have spontaneous labour. Various maternal and neonatal outcomes were noted and statistical analysis carried out. Results: Incidence of rupture of membrane in our study was 1 %. 84 % of patients delivered within 24 hours of rupture of membrane and 20 % of them required caesarean section. 14 % neonates had respiratory distress syndrome and 12 % neonate had sepsis. Conclusions: Induction of labour and delivery within 24 hours of rupture of membranes associated with low incidence of maternal and neonatal adverse outcome.