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العنوان
Quality assessment of Premature Rupture of Membranes (PROM) Management in Ain Shams Maternity Hospital\
الناشر
Ain Shams university.
المؤلف
Dahroug,Ahmed Fawzi A.
هيئة الاعداد
مشرف / Ahmed Mohamed Nour El Deen Hashaad
مشرف / Ihab Hassan Abd Elfattah
مشرف / Ahmed Mohamed Nour El Deen Hashaad
باحث / Ahmed Fawzi A. Dahroug
الموضوع
Premature Rupture. Membranes PROM. Maternity.
تاريخ النشر
2011
عدد الصفحات
p.:149
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض النساء والتوليد
تاريخ الإجازة
1/1/2011
مكان الإجازة
جامعة عين شمس - كلية الطب - Obstetrics & Gynecology
الفهرس
Only 14 pages are availabe for public view

from 149

from 149

Abstract

Prelabor rupture of membranes (PROM) is a condition which occurs in pregnancy when the amniotic sac ruptures before the onset of labor. Preterm prelabor rupture of membranes (PPROM) is a condition where the amniotic sac leaks fluid before 37 weeks of gestation (Deering et al., 2007).
This is a descriptive study to monitor the hospital – Stay period of patients admitted to Ain Shams Maternity Hospital with the diagnosis of PROM as regard methods used for diagnosis , follow up, treatment, complication and patient’s records (Routine work up which done for the patient from time of admission till delivery or termination of pregnancy).
This descriptive study was conducted at Ain Shams Maternity Hospital in 3 different units (3, 4&5) from May 2007 to December 2007 It included 106 pregnant women who hospitalized and managed for PROM.
Methods of Diagnosis for all patients were done by history of passage of watery vaginal discharge; Ultra-sonography examination to calculate the gestational age and amniotic fluid index; and Cusco speculum examination done; it was introduced vaginally to detect amniotic fluid leakage, cervical dilatation, to exclude cord prolepses.
All patients were subjected to full history taking, complete general examination, abdominal examination, sterile Cusco speculum examination and trans-abdominal ultrasound. Routine laboratory investigation {CBC, ABO, RH, CRP, RBS, LIVER&KID.FT, Urine C&ST}. Follow up [on other day] by complete blood picture, C-RP, AFI, MBPP. Follow up [daily] by fever chart, BP, pulse every 6h,.general condition, uterine contraction, uterine tenderness, vaginal bleeding, offensive vaginal discharge, trickling of fluid from vagina, fetal kicks, fetal heart sound& albumin in urine
All women have spontaneous onset of labour, 45 women delivered vaginally and 61women delivered by caesarian section.
Results of the current study showed that the retrograde analysis of the cases according to the neonatal outcome revels 3 groups:
Group 1: 40 women which have neonates’ discharged-normal [37.7 %].
Group 2: 59 women which have neonates’ admitted to ICU [55.7 %].
Group 3: 7 women which have neonates’ died [6.6 %].
The duration of pregnancy showed a statistical significant difference in the three groups, died neonates showed significantly lower mean than those admitted to ICU and those discharged.
Died neonates showed significantly lower mean AFI when compared to other groups, there was no difference between cases discharged or admitted to ICU.
Died neonates showed decreased latency period from rupture to delivery than discharged and cases admitted to ICU but the Difference did not reach a significant level.
There was no statistical significant difference between groups as regards other parameters such as maternal age, white blood cells, hemoglobin level, C-reactive protein, modified biophysical profile, mode of labour & hospital stay period.