Optimum Mode of Delivery in Gestations Complicated by Preterm Premature Rupture of Membrane During 32-37 weeks of Gestation

Background and objectives: Preterm premature rupture of membrane is amniotic fluid leakage due to fetal membrane rupture before 37 gestational weeks. The aim was to know the optimum mode of delivery in pregnant women with preterm premature rupture of membrane. Methods: A prospective observational study was performed on 50 pregnant ladies with a gestational age of 32-37 weeks with preterm premature rupture of membrane admitted to the Sulaimani Maternity Teaching Hospital from June 2021 to June 2022. Demographic features, medical history,mode of delivery and neonatal outcome were recorded . Results: The mean±SD (standard deviation) of maternal ages was 27.2±5.8 years (ranging from 16 to 38). The mean±SD of gravidity, parity, and abortus was 2.9±1.95, 1.6±1.7, and 1.4±0.6, respectively. The associations of women's age, residency, occupation, educational level, parity, and past medical history with mode of delivery were statistically insignificant (p-values of >0.05). The association of the indications of C/Ss with the delivery outcome was statistically significant (p-value of <0.001). The associations of gestational ages at rupture and birth did not affect the delivery outcome (p-values of >0.05). Besides, the fetal outcome did not affect the delivery outcome, except for fetal gender significantly (p-value = 0.05) affected the delivery outcome. Conclusions:The associations between indications of cesarean section and fetal gender with mode of delivery were statistically significant in pregnant women with preterm premature rupture of membrane between 32-37 gestational weeks.