Sultana S1, Khatun R2 , Sultana T3, Husna UHZ4
Abstract : Background: Premature rupture of membrane(PROM) is a condition of spontaneous rupture of membrane any time beyond 28th week of pregnancy but before onset of labour. PROM is the leading cause of preterm births, newborn complications and perinatal morbidities. Incidence of PROM occurs commonly in primigravida (62.7%) . Term PROM is higher approximately (70.92%) than preterm PROM. PROM occurs in 5-10% of all pregnancies of which approximately 80% occur at term. Objective : To evaluate the fetal outcome from expectant and active management of PROM. Materials and Methods : This is a cross-sectional study conducted in the Department of Obstetrics and Gynecology in Shaheed Monsur Ali Medical College and Hospital from January 2020 to June 2020 for a period of 6 months. During this study period 73 patients with PROM between 37-40 weeks were admit ted to the hospital. Of those 37 women were selected for active management and 36 women were chosen for expectant management. Informed written consent was taken, sociodemographic and clinical data were obtained. Feto-maternal outcome were also recorded. Results: Mean age for group with active management was 26.08 years and that for the expectant management group was 25.61 years. Primigravida was 64.9 % among active manage ment group and 61.1 % among expectant management group. NICU admission was 10.8% among active manage ment group and 11.1% among expectant management group. Analysis indicated that there were no significant difference in neonatal outcome between the two groups. Conclusion : There was no statistically significant differ ence between rate of maternal and neonatal morbidity between the two groups. Keywords: PROM (Premature rupture of membrane), preterm births, perinatal morbidities
