Management and Immediate Maternal & Neonatal Outcomes of Pre-Labour Rupture of Membranes (PROM) at Ompada Teaching Hospital

Background: Pre-labour rupture of membranes (PROM) is a rupture of the membranes prior to the onset of labour at or beyond 37 weeks gestation. The study aimed to assess the management and immediate maternal & neonatal outcomes of pre- labour rupture of membranes at term.  Methods: A Cohort prospective base study conducted among pregnant women at term attended to the emergency department complained of drainage of liquor at Ompada teaching hospital. The data were collected by structured questionnaire filled through direct face to face interviews after obtained informed consent.  Results: Out of 150 pregnant women were included in the final analysis of pre-labour rupture of membranes at term, the mean age of included women was 28.5 (range between 18-37 years) with majority cases were multigravidas. About 19.3% of the cases were un-booked with 32.7% of them had similar condition of PROM and 20.7% of the cases had previous history of preterm delivery on the past. About 17.3% of the cases chosen the Expectant management and the second group managed by immediate delivery (82.7%) either by Caesarian section (33.8%) or by Acceleration (66.2%). There was no statistically significant difference between postpartum maternal health and plan for delivery (p value 0.133). On the neonatal health, 81.3% of them delivered alive.  Conclusions: The main risk factors that contributed on development of PROM was lower urinary tract infections. The mode of delivery is either planned early induction or expectant management, depend on the conditions of the patients and the cervical favorability, with increase rates of caesarean section in expectant. Early acceleration and induction are recommended to decrease the interval of PROM and the risk of sepsis. Early diagnosis and prompt management is required for better outcome for mother and baby.