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KMID : 0361719940050010034
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Korean Journal of perinatology
1994 Volume.5 No. 1 p.34 ~ p.43
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Clinical Study of Influence of Premature Rupture of Membrane(PROM) on the Maternal Morbidity, Neonatal Death and Morbidity
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Abstract
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Management of premature rupture of the membranes represents a clinical dilemma for the Obstetrician-Gynecologist, On the other hand, the physician knows the longer the membranes are ruptured, the greater the risk for infection for the mother and
fetus.
On the other hand, immediate delivery for the preterm fetus yeilds a low-birth-weight infant who must face the risks of prematurity, the greatest of which is RDS, So a retrospective study involving all preterm mother & newborn babies who were
delivered
at less than 37 weeks gestation at the Department of Obstetrics and Gynecology, Yonsei University, College of Medicine, from Jan. 1990 to Dec. 1992 during 3 years.
The purpose of this study was to compare their maternal and neonatal morbidity, and neonatal morality, futhermore to determine the optimal time for terminating pregnancy minimize maternal and neonatal morbi8dity and mortality the result are as
follows.
1. The incidence of preterm PROM was 29%.
2. Maternal chorioamnionitis incidence rate in preterm PROM group was 11.3% and increase in rate when the latent period was in excess of 36 hours.
3. Respiratory distress syndrome was 74% and sepsis was 19% in the cause of perinatal mortaliy.
4. Respiratory distress syndrome was 36%, Neonatal hyperbilirubinemia was 29% and infections diseases was 35% in the causes of neonatal morbidity.
5. Neonatal mortality according to gestational weeks was 3% with above 34 weeks, and 16% between 30 weeks.
6. Neonatal morbidity was high in the neonate with birth weight below 1500 gm
7. Perinatal mortality and neonatal morbidity was increased in rate when the latent period was in excess of 12 hours and 18 hours each other.
As the result, in patient with PROM whose gestational age was in 34~37 weeks, induction would like to be delaved until spontaneous labor began within 48 hours after PROM, below 34 weeks and 2000 gm, delayed until 34 weeks unless there infectious
symptoms and signs.
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KEYWORD
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