Generic placeholder image

Current Women`s Health Reviews

Editor-in-Chief

ISSN (Print): 1573-4048
ISSN (Online): 1875-6581

Research Article

Exploring the Incidence of Premature Rupture of Membrane and its Associated Factors in Public Hospitals of Eastern Zone Tigray Region, Ethiopia, 2019

Author(s): Desta Abraha Weldegeorges, Fissaha Tekulu Welay*, Meresa Berwo Mengesha, Senait Gebreslasie Gebremeskel, Selam Shushay Kassahun and Tsige Shushay Gebremedhin

Volume 18, Issue 1, 2022

Published on: 12 January, 2021

Article ID: e041021190254 Pages: 6

DOI: 10.2174/1573404817999210112211038

Price: $65

Abstract

Background: Premature membrane rupture is an obstetric emergency when the fetal membrane ruptures and the amniotic fluid is expelled from the uterus at least one hour before the start of labor. The incidence of PROM during pregnancy is a concern to obstetrics as it is associated with many adverse pregnancy outcomes such as chorioamnionitis oligohydramnios, preterm labour, neonatal sepsis and neonatal asphyxia.

Objective: The aim of this study was to explore the incidence of premature rupture of membranes and its associated factors in public hospitals of the eastern zone, Tigray region, Northern Ethiopia, 2019.

Methods: The authors used a facility-based cross-sectional study design to study 212 participants from April to May 2019. The sample size was calculated by using a single population proportion formula. An interviewer-administered, pre-tested, and structured questionnaire was used to collect the data. The analysis was run using SPSS version 20. Finally, the odds ratio with 95% CI was used to measure the association after multivariable analysis and statistical significance was evaluated at p-value <0.05.

Results: The incidence of premature rupture of a membrane in this study was 29 (13.7%). The multivariate logistic regression analysis revealed that predictors like multigravida 2.1(1.94-6.03) having sexually transmitted infection AOR 1.3 and 95% CI (1.02-5.56) and previous history of premature rupture of membrane AOR and 95% CI 3.9 (1.9-10.02) were found to be associated with the occurrence of premature rupture of membrane.

Conclusion: The incidence of premature rupture of the membrane in this study was high. Hence its occurrence put the health of the mother and the fetus in danger. Pregnant mothers with preexisting obstetric and medical cases should be followed with special emphasis as a pretext to prevent the occurrence of maternal and neonatal adverse outcomes.

Keywords: Premature rupture of membrane, incidence, associated factors, pregnant mother, public hospitals, obstetric.

[1]
Parry S, Strauss JF III. Premature rupture of the fetal membranes. N Engl J Med 1998; 338(10): 663-70.
[http://dx.doi.org/10.1056/NEJM199803053381006] [PMID: 9486996]
[2]
Mishra S, Joshi M. Premature rupture of membrane- risk factors: a clinical study. Int J Contemp Med Res 2017; 4(1): 146-8.
[3]
Endale T, Fentahun N, Gemada D, Hussen AM. Maternal and fetal outcomes in term premature rupture of membrane. World J Emerg Med 2016; 7(2): 147-52.
[http://dx.doi.org/10.5847/wjem.j.1920-8642.2016.02.011]
[4]
Diriba DT, Segni H, Ali E. Incidence, maternal and perinatal outcome of premature rupture of fetal membrane cases in jimma university teaching hospital, South West Ethiopia. EC Gynaecology 2017; 5(4): 163-72.
[5]
Cunningham FG, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, et al. Williams obstetrics 24th ed. USA: McGraw-HILL Companies 2010.
[6]
Bekele I, Demeke T, Dugna K. Prevalence of preterm birth and its associated factors among mothers delivered in jimma university specialized teaching and referral hospital, jimma zone, oromia regional state, South West Ethiopia. J Womens Health Care 2017; 6: 356.
[http://dx.doi.org/10.4172/2167-0420.1000356]
[7]
Ananth VC, Oyelese Y, Srinivas N, Yeo L, Vintzileos MA. Preterm Premature Rupture of Membranes, Intrauterine Infection, and Oligohydramnios: Risk Factors for Placental Abruption Obstet Gynecol 2004; 104(1): 71-.
[8]
Sirak B, Mesfin E. Maternal and perinatal outcome of pregnancies with preterm premature rupture of membranes (PPROM) at Tikur anbessa specialized teaching hospital, Addis Ababa, Ethiopia. Ethiop Med J 2014; 52(4): 165-72.
[PMID: 26410989]
[9]
Gabbe GS, Niebyl RJ, Simpson JL. Obstetrics: Normal and Problem Pregnancies 5th ed. Churchill Livingstone 2009.
[10]
Aris IM, Logan S, Lim C, Choolani M, Biswas A, Bhattacharya S. Preterm prelabour rupture of membranes: a retrospective cohort study of association with adverse outcome in subsequent pregnancy. BJOG 2017; 124(11): 1698-707.
[http://dx.doi.org/10.1111/1471-0528.14462] [PMID: 28029224]
[11]
Akter S, Akther R, Rashid M. Prelabour rupture of the membrane & Feto-Maternal outcome. J Bangladesh Coll Phys Surg 2010; 28: 17-23.
[http://dx.doi.org/10.3329/jbcps.v28i1.4639]
[12]
Liu J, Feng Z-C, Wu J. The incidence rate of premature rupture of membranes and its influence on fetal-neonatal health: a report from mainland China. J Trop Pediatr 2010; 56(1): 36-42.
[http://dx.doi.org/10.1093/tropej/fmp051] [PMID: 19542192]
[13]
Central Statistical Agency (CSA) Ethiopia and ICF. Ethiopia Demographic and Health Survey 2016 Addis Ababa, Ethiopia, and Rockville, Maryland, USA: CSA and ICF 2016.
[14]
Mohan SS, Thippeveeranna C, Singh NN, Singh LR. Analysis of risk factors, maternal and fetal outcome of spontaneous preterm premature rupture of membranes: a cross sectional study. Int J Reprod Contracept Obstet Gynecol 2017; 6: 3781-7.
[http://dx.doi.org/10.18203/2320-1770.ijrcog20173623]
[15]
Msomi G, Naidoo M, Hira B. Perinatal outcomes in pregnant women presenting with preterm premature rupture of membranes at a regional hospital in KwaZuluNatal Province, South Africa. S Afr J Obstet Gynaecol 2017; 23(2): 43-7.
[16]
Noor S, Nazar AF, Bashir R, Sultana R. Prevalance of PPROM and its outcome. J Ayub Med Coll Abbottabad 2007; 19(4): 14-7.
[PMID: 18693588]
[17]
Hackenhaar AA, Albernaz EP, Fonseca TM. Preterm premature rupture of the fetal membranes: association with sociodemographic factors and maternal genitourinary infections. J Pediatr (Rio J) 2014; 90: 197-202.
[18]
Deressa AT, Cherie A, Belihu TM, Tasisa GG. Factors associated with spontaneous preterm birth in Addis Ababa public hospitals, Ethiopia: cross sectional study. BMC Pregnancy Childbirth 2018; 18(1): 332.
[http://dx.doi.org/10.1186/s12884-018-1957-0] [PMID: 30103704]
[19]
Workineh Y, Birhanu S, Kerie S, Ayalew E, Yihune M. Determinants of premature rupture of membrane in Southern Ethiopia, 2017: case control study design. BMC Res Notes 2018; 11(1): 927.
[http://dx.doi.org/10.1186/s13104-018-4035-9] [PMID: 30587239]
[20]
Singh S, Singh KS. Premature Rupture of Membrane Its Factors and Maternal Outcome. J Med Dent Sci 2018; 17(5): 42-8.
[21]
Harger JH, Hsing AW, Tuomala RE, et al. Risk factors for preterm premature rupture of fetal membranes: a multicenter case-control study. Am J Obstet Gynecol 1990; 163(1 Pt 1): 130-7.
[http://dx.doi.org/10.1016/S0002-9378(11)90686-3] [PMID: 2197863]
[22]
Hadley CB, Main DM, Gabbe SG. Risk factors for preterm premature rupture of the fetal membranes. Am J Perinatol 1990; 7(4): 374-9.
[http://dx.doi.org/10.1055/s-2007-999527] [PMID: 2222633]
[23]
Sae-Lin P, Wanitpongpan P. Incidence and risk factors of preterm premature rupture of membranes in singleton pregnancies at Siriraj Hospital. J Obstet Gynaecol Res 2019; 45(3): 573-7.
[PMID: 30537150]
[24]
Assefa NE, Berhe H, Girma F, et al. Risk factors of premature rupture of membranes in public hospitals at Mekele city, Tigray, a case control study. BMC Pregnancy Childbirth 2018; 18(1): 386.
[http://dx.doi.org/10.1186/s12884-018-2016-6] [PMID: 30268103]
[25]
Addisu DS, Melkie A, Biru S. Prevalence of preterm premature rupture of membrane and its associated factors among pregnant women admitted in Debre tabor general hospital, North West Ethiopia: A facility based cross-sectional study. Obstet Gynecol Int 2020; 2020

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy