Prevalence of various Vaginal Bacteriological Infections in Women with PPROM And PROM in a Tertiary Care Hospital RIMS, Raipur

Abstract

Background- Pre-labor rupture of fetal membrane (PROM) is defined as rupture of fetal membrane prior to labor, after completion of 37 weeks of gestation. Preterm pre-labor rupture of the fetal membranes (PPROM) is a rupture of fetal membrane prior to completion of 37 weeks of Gestation but after the period of viability (28 weeks) (1). PROM occur in around 10 % of all Pregnancies (1). PPROM is observed in 3 to 8% of total pregnancies. There are several risk factors which precipitate PPROM and PROM cases. Few complications commonly seen in PPROM and PROM are delivery within one week (50-75 % cases), chorioamnionitis (13-60 %), abruptio placentae (4-12%), respiratory distress syndrome (35%), intrauterine fetal death (1- 2%) etc.

Aims & Objectives- To determine Prevalence of various vaginal bacteriological infections in women with PPROM AND PROM in a tertiary care hospital RIMS, Raipur

Materials and Methods- This was a Cross-sectional study conducted on 96 pregnant women with PPROM & PROM who got admitted in labour room of Raipur Institute of Medical Sciences, Raipur, C.G, India. Under aseptic conditions high vaginal swabs, CRP and other investigations were collected were collected and reports were analysed.

Results= 12.5 % were PPROM and 87.5% were PROM cases. Among all isolated micro-organisms staph. aureus was the most common. Requirement of caesarean delivery was 75% in PPROM and 44% in cases of PROM respectively. Cases of puerperal sepsis and wound infection were 2.4% in PROM cases. One case of respiratory distress syndrome was observed in PROM group.

Conclusion- Vaginal infection is known to be an important risk factor for PPROM and PROM cases. Those who are at risk need to be monitored closely and correct treatment must be given to manage PPROM & PROM and in reducing the chances of morbidity and mortality.