Background: Premature rupture of membranes is defined as spontaneous rupture of fetal membranes beyond 28 weeks of pregnancy but before the onset of uterine contractions. If PROM occurs before 37 completed weeks, it is referred to as preterm premature rupture of membranes (PPROM). PROM is associated with adverse outcomes in both; hence its management becomes crucial. It complicates 8% of pregnancies and is the cause of approximately one-third of preterm deliveries. It can lead to significant perinatal morbidity, including respiratory distress syndrome, neonatal sepsis, umbilical cord prolapses, placental abruption, and fetal death. Appropriate evaluation and management are important for improving neonatal outcomes. The risk of intrauterine infection increases with the duration of ROM. Evidence supports the idea that induction of labor, as opposed to expectant management, decreases the risk of chorioamnionitis without increasing the cesarean delivery rate. The objective of the present study was to investigate the labor, maternal, and perinatal outcomes. Methods: The present prospective study was conducted in the Department of Obstetrics and Gynecology and associated Sheth L.G. Hospital, Narendra Modi Medical College, India from January 2023 to October 2023 among the patients diagnosed as premature rupture of the membrane with women complain of leaking attending antenatal OPD and antenatal ward. On admission, a detailed history was taken. General and Systemic examinations were done including Per Abdomen, Per Speculum and per vaginum carried out and investigations were done as per protocol. Diagnosis of PROM was confirmed by any of these methods. Continuous monitoring of maternal and fetal condition done antibiotics was given intra/ post-natal period. P/ V exam was done when necessary. Investigations done and maternal and fetal outcome were noted. Results: More number of booked cases was found in study group. Maximum women were in the age group of 20-24 years. Majority of cases of PROM were idiopathic. PROM results in oligohydramnios due to drainage of liquor amnii. Majorities of the babies were underweighted in mothers with PROM. Thus, the better fetal outcome was associated with term gestational age. Higher chances of maternal complication were found among mothers with PROM. Conclusions: From the above study, it can be concluded that PROM is associated with poor fetomaternal outcome. Early diagnosis and prompt management is required for better outcome of mother and baby.

Background: Premature rupture of membranes is defined as spontaneous rupture of fetal membranes beyond 28 weeks of pregnancy but before the onset of uterine contractions. If PROM occurs before 37 completed weeks, it is referred to as preterm premature rupture of membranes (PPROM). PROM is associated with adverse outcomes in both; hence its management becomes crucial. It complicates 8% of pregnancies and is the cause of approximately one-third of preterm deliveries. It can lead to significant perinatal morbidity, including respiratory distress syndrome, neonatal sepsis, umbilical cord prolapses, placental abruption, and fetal death. Appropriate evaluation and management are important for improving neonatal outcomes. The risk of intrauterine infection increases with the duration of ROM. Evidence supports the idea that induction of labor, as opposed to expectant management, decreases the risk of chorioamnionitis without increasing the cesarean delivery rate. The objective of the present study was to investigate the labor, maternal, and perinatal outcomes. Methods: The present prospective study was conducted in the Department of Obstetrics and Gynecology and associated Sheth L.G. Hospital, Narendra Modi Medical College, India from January 2023 to October 2023 among the patients diagnosed as premature rupture of the membrane with women complain of leaking attending antenatal OPD and antenatal ward. On admission, a detailed history was taken. General and Systemic examinations were done including Per Abdomen, Per Speculum and per vaginum carried out and investigations were done as per protocol. Diagnosis of PROM was confirmed by any of these methods. Continuous monitoring of maternal and fetal condition done antibiotics was given intra/ post-natal period. P/ V exam was done when necessary. Investigations done and maternal and fetal outcome were noted. Results: More number of booked cases was found in study group. Maximum women were in the age group of 20-24 years. Majority of cases of PROM were idiopathic. PROM results in oligohydramnios due to drainage of liquor amnii. Majorities of the babies were underweighted in mothers with PROM. Thus, the better fetal outcome was associated with term gestational age. Higher chances of maternal complication were found among mothers with PROM. Conclusions: From the above study, it can be concluded that PROM is associated with poor fetomaternal outcome. Early diagnosis and prompt management is required for better outcome of mother and baby.