MATERNAL AND NEONATAL OUTCOMES IN PRETERM PROM: EXPERIENCE FROM A TERTIARY CARE CENTER IN KASHMIR
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Keywords
PPROM, preterm labor, neonatal sepsis, maternal morbidity, NICU admission
Abstract
Background: Preterm premature rupture of membranes (PPROM) is associated with significant maternal and neonatal morbidity and mortality, particularly in resource-constrained settings.
Objective: To evaluate maternal and neonatal outcomes among women with PPROM admitted to a tertiary care hospital in Kashmir.
Methods: This prospective observational study included 100 pregnant women between 28–37 weeks gestation with PPROM. Maternal morbidity, delivery details, and neonatal outcomes were evaluated.
Results: Most patients presented within 6–11 hours of membrane rupture. Vaginal delivery occurred in 67% of cases; 33% underwent cesarean. Maternal morbidities included febrile illness (10%), urinary tract infection (4%), and postpartum hemorrhage (2.5%). Among neonates, 72% were healthy; 14% had jaundice, 7% had birth asphyxia, and 6% septicemia. NICU admission was required in 43% of cases.
Conclusion: PPROM poses a significant threat to both mother and neonate. Vigilant monitoring, timely intervention, and individualized management protocols are key to improving outcomes.
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Dr. Umbreena Sanaullah
Senior Resident; Department of Obstetrics and Gynaecology Government Medical College, Srinagar, Jammu and Kashmir, India
Dr. Baby Jan
PG Scholar; Department of Obstetrics and Gynaecology Government Medical College, Srinagar, Jammu and Kashmir, India
Dr. Samiya Mufti
Professor Department of Obstetrics and Gynaecology Government Medical College, Srinagar, Jammu and Kashmir, India