Compare the maternal and fetal outcomes in expectant versus active management

Background: Premature Rupture of Membranes (PROM) refers to rupture of membranes with leakage of amniotic fluid before the onset of labour. Aim: To compare the maternal and fetal outcomes in Expectant Versus Active Management, to study the incidence of PPROM (Preterm Premature Rupture of Membranes) at our hospital. Materials and methods: Study was conducted in 100 patients with confirmed diagnosis of PPROM with per speculum/ vaginal PH. The present study included both booked and unbooked cases. 50 patients were recruited for expectant and the other 50 for other management. Results: Incidence of PPROM in the study was 2.2%. Majority were in the age group of 21 – 25 years and more observed in multigravida. There was fourfold increase in incidence of cesarean section with the major indication being fetal distress in both the groups. Pathological flora was detected in 30% of cases. PPROM was more in gestational age between 34 – 36 weeks. Incidence of perinatal mortality was 15%. Incidence of perinatal mortality was increased in actively managed cases compared to conservatively managed cases. Major cause of perinatal mortality in actively managed cases was Respiratory Distress. Major cause of perinatal mortality in conservatively managed cases was Septicaemia. Conclusions: Incidence of PPROM which can significantly affect the mother and fetus can be reduced by early screening, adequate antenatal visits, improvement of general condition of mother and treating the associated complications.