DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20150797

Pre and post conception risk factors in PROM

Manisha Choudhary, Samta Bali Rathore, Jai Chowdhary, Swati Garg

Abstract


Background: The objective of the study was to evaluate the pre conception and post conception risk factors in cases of premature rupture of membranes (PROM).

Methods: Two hundred pregnant women that were hospitalized at Mahatma Gandhi Medical College and Hospital from 1st January 2013 to 31st December 2013 with PROM (>28 Weeks) were evaluated for various risk factors of PROM.

Results: Low socio-economic status, cervical manipulation, urogenital infections, malpresentation, coitus, hydraminos, multifetal gestation and smoking significantly increase the risk of PROM.

Conclusions: Pre and post conception identification of various factors causing PROM can prevent premature deliveries and it’s complications to some extent.


Keywords


Pregnancy, Premature rupture of membranes, Risk factors

Full Text:

PDF

References


Cootanco AC, Althaus JE, Preterm birth and premature rupture of membranes, “The Johns Hopkins Manual of gynaecology and obstetrics (third edition), Kimberly BI, Linda MS, Harold EF & Edward EW (Eds) Lippincott Williams & Wilkins, Philadelphia. 2008: 122-136.

Keirse MJ, Ohisson A, Treffers P et al, Prelabour rupture of membranes preterm in: Chambers I, Enkin M, Kense MNJC. Effective care in pregnancy and child birth (EJS) Oxford. 1984: 666-693.

Naeye RL. Causes of prenatal mortality in the US. Collaborative prenatal project. J Amer Med Ass. 1977:238;228-31.

Gunn GC, Mishell DR, and Morton D.G. Premature rupture of membranes, A review. Amer J Obstet Gynaec. 1970;160:469-83.

Shubert PJ, Diss E, Lams JD. Aetiology of preterm premature rupture of membranes. Obstet Gynaec Clin N Amer. 1992;19:251-80.

Allen R.S. The epidemiology of premature rupture of the foetal membranes. Clin Obstet Gynaec. 1991:34:685-93.

Lindsey P, Marcos Alger LS. ClinObstet & Gynecol. 1986:29:758-61.

Desai BR, Shobhana SP, Sharma R. Evaluate the incidence of infection as the cause of PROM, Journal of Obst. & Gynae of India. 2001:51:83-5.

Ratnam S. Obstetrics & Gynaecology for post graduates, 2nd edition, 96.

Spinillo A, Nicola S, Pia IK, et al; Epidemiological correlates of preterm premature rupture of the membranes. Int J Gynaec Obstet. 1994:47:7-11.

Kosus A. Kosus N, Capar M. Perinatal outcome in pregnant women with PROM in our clinic. T Klin J Gynecol Obst. 2007:17:152-5.

Paumier A, Gras leguen C, Branger B, Boog G, Roze JC, Philippe HJ, et al. PROM before 32 weeks of gestation ; prenatal prognosis factors. Gynecol Obstet Fertil. 2008:36(7-8):748-56.

Linn S, Schoenbaum SC, Monson RR, et al. The relationship between induced abortion and outcome of subsequent pregnancies. Amer J Obstet Gynaec. 1983:146:136-40.

Darby MJ, Lantis SN, Shen-Swarz S. Placental abruption in the preterm gestation: An association with chorioamnionitis. ObstetGynaec. 1989:74:88-91.

Hossain R, Harris T. Lohsoonthorn & Williams M.A., Risk of preterm delivery in relation to vaginal bleeding in early pregnancy. Eur J Obstet Gynecol Repord Biol. 2007;135(2):158-63.

Turan C, Ozcan T, Kaleli B, Danisman N, Sayilgan A, Gokmen O. Risk factors of preterm PROM. Turkish J Perinat. 1995;3(2):30-2.

Minkoff H, Grunebaum AN, Sewarz RH, et al. Risk factors for prematurity and premature rupture of membranes. A prospective study of vaginal flora in pregnancy. Amer J Obstet Gynaec. 1984:150:965-7.

Miller JM, Pupkin MJ. Premature labour and premature rupture of membranes. Amer J Obstet & Gynaec. 1978:132:1-4.

Williams obstetrics, 20th edition, 163.

Evaldison G, Lagrelius A, Winiarski J. Premature rupture of membranes. Acta Obstet Gynaec Scand. 1980;59:385-93.

Harger JH, Hsing AW, Tuomala RE, et al. Risk factors for preterm premature rupture of the membranes. A multicentre case control study. Amer J Ostet Gynaec. 1990:163:130-3.

Chen Z, Du J, Shao L, Zheng L, Wu M, Ai M, et al. Prepregnancy body mass index, gestational weight gain and pregnancy outcomes in China. Int J Gynaecol Obstet. 2010;109(1):41-4.