Prelabour Rupture of Membranes: Mode of Delivery and Outcome.
BACKGROUND
Pre-labour Rupture of Membranes (PROM) is an important cause of maternal and fetal morbidity and increased rate of cesarean section delivery.


OBJECTIVE
The aim of this study is to investigate the clinical characteristics, PROM-delivery interval, mode of delivery, and early maternal neonatal outcome among pregnant patients presenting with pre-labour rupture of membranes.


METHODS
This prospective case control study is implemented at the Obstetric and Gynecology Clinic of the University Clinical Center of Kosovo. The study included 100 pregnant patients presenting with prelabour rupture of membranes of which 63 were primigravida and 37 patients were multigravida.


RESULTS
The incidence of cesarean section in this study is 28 % and the most common indications for cesarean delivery were fetal distress, malpresentation, cephalopelvic disproportion, and failed induction. The most common maternal complications in this study are chorioamnionitis, retained placenta and postpartum hemorrhage. Neonatal infectious morbidity was present in 16 % of cases.


CONCLUSIONS
PROM is a significant issue for obstetricians and an important cause of maternal and neonatal morbidity and increased rate of cesarean section delivery.
University Clinical Center of Kosovo - Obstetrics and Gynecology Clinic, Prishtina, Kosovo.
Vlora Ademi
VA
Ibishi
Institute for Epidemiology and Medical Biostatistics, Medical Faculty, Ss. Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia.
Rozalinda Dusan
RD
Isjanovska
latency period; maternal complications; mode of delivery; neonatal outcome; prelabour rupture of membrane (PROM)