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Abstract

Introduction: Prelabor rupture of fetal membranes (PROM) complicates about 3-8% of pregnancies with associated maternal and perinatal morbidity and mortality. The study evaluated the maternal characteristics and pregnancy outcomes in patients with PROM at Ekiti State University Teaching Hospital, Ado-Ekiti.
Methods: This was a retrospective analysis of all pregnant women that were managed as cases of PROM in the hospital between 1st January, 2011 and 31st December, 2020. The case notes were retrieved and information relating to their presentation and management were obtained and analysed using SPSS 22.
Results: There were 27,470 deliveries and 545 cases of PROM during the study period with a prevalence of 1.98%. Out of these, 93 (0.33%) cases were term PROM and 452 (1.65%) cases were preterm PROM. About 66.3% of the women with PROM were booked in the hospital while 33.7% were unbooked. Most (79.1%) of the women presented within 24 hours of onset of membrane rupture while 20.9% presented after 24 hours rupture of membranes. The socio-demographic
characteristics were not statistically different between the booked and unbooked women with PROM, p>0.05. Women who were booked and presented within 24 hours of membrane rupture had significantly better neonatal outcomes than those who were unbooked and had late presentation, p<0.05. Vaginal delivery was the most common mode of delivery among the women with caesarean delivery accounting for 11.9%. The perinatal mortality in this study was 8.8% and
there was no maternal mortality.
Conclusions: The prevalence of PROM in this study was low with good neonatal outcomes associated with being booked and early presentation in the hospital. Therefore, the need for antenatal care and education especially on danger signs of pregnancy and early presentation in the hospital when such are noticed should be emphasized regularly.

Keywords

Prelabor rupture of membrane, Pregnant women

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