الفهرس 
Fetal Membranes & premature rupture of membranesOnly 14 pages are availabe for public view
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Abstract
Background: Preterm Premature rupture of membranes (PPROM) is fairly a common major complication of pregnancy and can lead to increased maternal complications, neonatal morbidity and mortality. The most common cause of PPROM is idiopathic.
Objectives: The study aims to identify the maternal and fetal outcome and the potential associated factors for poor fetal outcomes of PPROM.
Methodology: A Cross sectional study was conducted at Ain Shams maternity hospital using data that was retrieved from the hospital information system (HIS) and reviewed from the patients‟ medical files.
Results: The prevalence of PPROM was 4.7%. 58.3% were between 21 -30 years and 70.3% were housewives. 95.7% were not smokers & amniotic fluid was gushed from the vagina in 74.7% of cases. 58%were multi gravida with singleton pregnant & 52.3% went into spontaneous labor within 24 hours .Women without history of previous PPROM were 96%.77%were free from chronic diseases & the mean gestational age at PPROM & delivery was 32±3weeks. 95.7% did not develop chorioamnionitis and 46.7% were delivered by CS. Infants who were born alive & well were 38.7%, while 61.3% had poor outcome. Maternal age, type of PPROM, presence of choriamnionitis, mode of delivery, LBW and GA at PPROM & at delivery were significantly related to poor fetal outcome p<0.05. By multivariate regression analysis; employment (OR=1.8), early GA at PPROM (OR=.8) , gush type of PPROM (OR=2.01), chorioamnionitis (OR=14.1), CS delivery (OR=2.7) were risk factors for poor fetal outcome.
Conclusion: The study concluded that PPROM is major complication of pregnancy with significant impact on mothers& neonates. by multivariate regression analysis showed that women employment , early gestational age at PPROM, gush type of PPROM, chorioamnionitis , delivery by caesarean section and low birth weight were risk factors for poor fetal outcome.