title: Impact of fetal presentation on pregnancy outcome in preterm premature rupture of membranes.
abstract: OBJECTIVE
  To determine the impact of fetal presentation on pregnancy outcome in preterm premature rupture of membranes (PPROM).
  
  
  METHODS
  Retrospective.
  
  
  METHODS
  Fifty eight PPROM patients (gestational age of 24-34 wk, complicated by PPROM and latency more than 24 h) between January 2008 to December 2012 were categorized into cephalic and non cephalic and pregnancy outcome were analyzed with standard statistical methods including the Chi-square test, t- test and Mann Whitney test.
  
  
  RESULTS
  The non cephalic (20.7%, 12/58) and cephalic group (79.3%, 46/58) among the 58 patients with PPROM were demographically homogenous. PPROM was significantly earlier in non cephalic group although latency was not much different in both groups. Maternal complications (abruption, chorioamnionitis and post operative wound infection) as a composite were more in non cephalic group. Neonatal death was also significantly more in non cephalic than cephalic.
  
  
  CONCLUSIONS
  Non cephalic presentation at diagnosis of PPROM is likely to have an unfavorable effect on the maternal and fetal outcome.
authors.affiliation: Associate Professor, Department of Obstetrics and Gynaecology, Amrita Institute of Medical Sciences , Kochi, Kerala, India .
authors.forename: Smitha
authors.initials: S
authors.lastname: Joy
authors.affiliation: Assistant Professor, Department of Obstetrics and Gynaecology, Amrita Institute of Medical Sciences , Kochi, Kerala, India .
authors.forename: Sobha
authors.initials: S
authors.lastname: Nair
authors.affiliation: Professor and Head, Department of Obstetrics and Gynaecology, Amrita Institute of Medical Sciences , Kochi, Kerala, India .
authors.forename: Radhamany
authors.initials: R
authors.lastname: K
keywords: Oligohydraminos; PPROM; Pregnancy outcome; Presentation