Premature rupture of membranes (PROM) complicates 3% of preterm pregnancies\nand occurs in 60% to 80% of term pregnancies. However, its management\nremains largely controversial. The objective of this study was to establish\nthe epidemiological profile, to study the management and the prognosis\nof Premature rupture of membranes (PROM) in our practice. Patients\nand methods: It was a prospective, descriptive and analytical study from May\n1st 2016 to January 31st 2017 at the Pikine National Hospital Center. The\ntarget population consisted of all patients received at the hospital with premature\nrupture of membranes and who had given birth in the structure. The\nvariables studied were: marital status, mode and reason for admission; risk\nfactors; antecedents; prenatal care; the clinical and paraclinical examinations;\nsupport and immediate maternal and fetal neonatal complications. Results\nand comments: The mean maternal age was 27.34 years and the majority of\nwomen were aged between 18 and 39 years (94.4%). Fifty-one point three\npercent of patients were primiparous, large multiparous represented only\n2.5%. The majority of patients (385 patients or 66.9%) had consulted in the\nfirst 12 hours following the onset of fluid flow. For 20.1% of them this flow\nwas associated with uterine contractions. Hidden risk factors were dominated\nby the twin pregnancy. The blood count showed that 38.8% of patients had\nleukocytosis and CRP was positive in 18.3% of patients. An ampicillin-based\nantibiotics was established in 42.6% of cases, corticosteroid therapy in 5.2%\nand 1% in tocolysis. An expectation was adopted in 65.7% of cases, induction\nof labor in 7.3% and a cesarean section immediately in 27% of cases. In total,\n65.7% of patients had vaginal delivery and 34.3% cesarean. The perinatal\nmortality rate was 3.6% or 22 newborns on 610. Two cases of endometritis\nwere observed and one case of immediate postpartum hemorrhage. No\nmaternal deaths were recorded. Conclusion: These results show that the\nprognosis of premature rupture of membranes remains favorable in our\npractice. To improve this prognosis, we recommend sensitization of patients\nduring prenatal care regarding signs of danger, a systematic bacteriological\nsample from all pregnant at the end of their pregnancy and the health\npersonnel to direct patientsâ?? references to structures in case of PROM.
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