Risk factors of prelabor rupture of membranes at University of Maiduguri Teaching Hospital, Maiduguri: A cross-sectional study

Z. Lawan, B. Bako, A. Idrisa, M. Bukar, G. Gadzama
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引用次数: 4

Abstract

Background: Prelabor rupture of membranes (PROM) is a common obstetrics problem associated with maternal and perinatal morbidity and mortality. Patients and Methods: This was a hospital-based cross-sectional study to determine the risk factors for PROM among women presenting to the Department of Obstetrics and Gynecology of the University of Maiduguri Teaching Hospital, Maiduguri. It was conducted between 1st May 2016 and 28th February 2017. Sociodemographic and obstetrics variables were obtained from the patients, and risk factors such as previous preterm delivery, previous PROM, miscarriages, fever, abnormal vaginal discharge, urinary tract infection, abdominal distension, trauma, and coitus were sought. For each patient, an endocervical swab, high vaginal swab, and urine samples were taken for microbacteriologic studies. The next patient without PROM is used as control. Data were analyzed using SPSS 20. A total of 258 (129 with PROM and another 129 without PROM) were analyzed. Results: The mean age, gestational age, and parity were 27 ± 6 years, 33 ± 0.3 weeks, and 1 ± 0.92, respectively. A majority of the women (55%) had parity between 1 and 4. Term PROM recorded the highest frequency [49 (37.9%)]. Previous history of PROM [odds ratio (OR) 5.18, 95% confidence interval (CI): 2.31–11.62], history of Preterm Delivery (OR 3.26, 95% CI: 1.16– 9.19), low socioeconomic status (OR 1.95 95%, CI: 1.15–3.31), and genitourinary infection are highly predictive of PROM. Conclusion: The modifiable or treatable risk factors should be addressed during the antenatal care to reduce the risk of PROM. High-risk patients should be counseled and monitored closely to optimize pregnancy outcomes.
迈杜古里大学教学医院分娩前胎膜破裂的危险因素:一项横断面研究
背景:产前胎膜破裂(PROM)是一种常见的产科问题,与孕产妇和围产儿的发病率和死亡率有关。患者和方法:这是一项以医院为基础的横断面研究,旨在确定在迈杜古里大学教学医院妇产科就诊的妇女中发生胎膜早破的危险因素。调查于2016年5月1日至2017年2月28日进行。从患者中获取社会人口学和产科变量,并寻找危险因素,如既往早产、既往胎膜早破、流产、发热、阴道分泌物异常、尿路感染、腹胀、创伤和性交。对每位患者进行宫颈内膜拭子、阴道高位拭子和尿液样本进行微生物学研究。下一位未见早破的患者作为对照。数据采用SPSS 20进行分析。共分析258例,其中有早舞会129例,无早舞会129例。结果:平均年龄27±6岁,平均胎龄33±0.3周,平均胎次1±0.92周。大多数女性(55%)的性别在1和4之间。Term PROM出现频率最高[49例(37.9%)]。早PROM既往史[比值比(OR) 5.18, 95%可信区间(CI) 2.31-11.62]、早产史(OR 3.26, 95% CI: 1.16 - 9.19)、低社会经济地位(OR 1.95 95%, CI: 1.15-3.31)和泌尿生殖系统感染是早PROM的高度预测因素。结论:在产前护理中应重视可改变或可治疗的危险因素,以降低胎膜早破的风险。高危患者应咨询和密切监测,以优化妊娠结局。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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