| Abstract
Introduction: PPROM, rupture of amniotic sac prior to 37th gestational week and before
delivery, can lead to maternal complications such as delivery complications, emergency
cesarean section, chorioamnionitis, endometritis, sepsis and maternal death. Neonatal
complications also include preterm delivery, placental abruption, umbilical cord prolapse,
NICU admission, respiratory distress syndrome and neonatal necrotizing enterocolitis. In the
present study, we aimed at studying maternal and neonatal outcomes in patients with
terminated pregnancy in 34th and 36th gestational weeks. Materials and methods: 40
pregnant women, with PPROM who underwent pregnancy termination at 34 group (A) or 36
group (B) gestational weeks, were included to be evaluated and compared for maternal and
neonatal outcomes. Type of delivery, birth complications, chorioamnoionitis, endometritis,
sepsis, maternal mortality, infant gender, birth weight, Apgar scores, respiratory distress
syndrome, Meconium-stained amniotic fluid, NICU admission, abruption, umbilical cord
prolapse, maternal and neonatal outcomes were compared between the two groups. Results:
There was no statistically significant difference between the two groups regarding maternal
age, level of education, or gravity. The percentage of cases with birth weight between 1500
and 2500 g was significantly higher in group A P<0.001). Frequency of NICU admission in group
A was significantly more than group B (P<0.001). In conclusion: Termination of pregnancy at 36
weeks compared to 34 weeks in pregnant women with PPROM is preferred in terms of
neonatal outcomes and it is recommended; also, there might be no preference in terms of
maternal outcomes. |