Giriş
Premature rupture ot membranes (PROM) is one of many risk factors tor delivery. it is caused by infection of vagina, disproportion and low level of antenatal care. Aim: To analyse influence of PROM to course of delivery, and to state of mother and newborn in delivery time.
Yöntem
in the retrospective study we analyzed 932 deliveries with PROM in one-year period at OB/GYN Clinic in Tuzla with the review of time of termination of pregnancy and state of newborn in time of delivery.
Bulgular
Out of 4488 deliveries we found 932 or 20,76% with PROM. We found combination of two or more risk factors for pregnancy in group patients with PROM. Most frequent factors were: gestosis in 35,94%, urinary infections in 28,54%, and low level of antenatal care in 55,68% (Less than six examinations in pregnancy). Combination of two or more factors we found in 90,34% of PROM cases. in group of newborns we found higher incidence of newborn with small birth weight - 15,87%. in group with PROM we found quite high incidence of infection of mothers (Chorioamnionitis, uroinfection) - 3,0% and higher incidence of infection of newborns- 24,30%. in group with PROM we completed pregnancy by Cesarean section in 16,2% of cases and by stimulation of delivery with Oxytocine or Prostaglandines in 38,06% of cases.
Sonuç
The premature rupture of membranes is caused by many single risk factors or combination of these factors and makes risk for mothers and newborns in early neonatal period.
Anahtar Kelimeler
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