The Risk of Neonatal Infection in a Premature Rupture of Membran at Term Pregnancy - Cross Sectional Study
Putri Damayanti,Samirah Mahri
Background : Premature Rupture of Membrane (PROM) at anytime increases risk of perinatal infection. Since risk of infection at term with ROM is small during the first 24 hours, expectant management and waiting for spontaneous labor may be considered in selected patients for the first 12-24 hours if a patient desires expectant management.
Material : A descriptive cross sectional study of births after PROM in Prima Husada Hospital Malang from January 2017 to March 2018. We collected data of pregnancies with PROM at term and neonatal outcomes from medical record.
Results : A total of 176 pregnancies with premature rupture of membrane in study which consist of 165 cases (93,75%) have labour before 24 hours and 11 cases (6,25%) have labour after 24 hours obtain 10 neonates with infection (6 neonates delivered with PROM more than 24 hours and 4 neonates delivered with PROM less than 24 hours).
Conclusions : A management of PROM is the most important thing for decreasing number of neonatal infection. PROM at term more than 24 hours has more risk for neonatal infection than PROM at term at first 24 hours. Risk of neonatal infection from PROM is less than 10%.
Keywords: PROM Neonates Infection
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