Neonatal Mortality from Preterm Premature Rupture of Membrane

Rates of perinatal and neonatal morbidity and mortality are high in pregnancies complicated by preterm premature rupture of membrane (PPROM). The aim of the study was to estimate the neonatal mortality and highlight the characteristics of neonatal deaths This is a prospective study conducted from 2012 until 2015 including 637 pregnant women with PPROM between 34 until 37 weeks of gestation. Neonatal and maternal data were entered into a database comprising maternal and neonatal data at Obstetric-Gynecologic University Hospital Queen Geraldine in Tirana, Albania. During the study period 7 neonates had a fatal outcome representing a mortality rate of 1.1 % (95 %CI 0.44 2.25). Premature rupture of membranes is responsible for increased perinatal morbidity among preterm neonates. Morbidity increases as the duration of premature rupture of membranes increases. Advances in care of preterm babies may reduce the perinatal mortality following premature rupture of membranes, but the ultimate solution lies in prevention of premature rupture of membranes before term.