Browsing by Author "Thuparambil, M. Ravi Anish"

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    Prevalence and risk factors for premature rupture of membranes among pregnant women at Kampala International University Teaching Hospital
    (Kampala International University, School of Health Sciences, 2019-04) Thuparambil, M. Ravi Anish
    The study assessed the prevalence and risk factors for premature rupture of membranes among pregnant women at KIU-TH. A cross-sectional, descriptive, retrospective study which involved patients’ records review was used. A total of 1994 patient records were reviewed out of which 53 with the diagnosis of PROM/PPROM were used. The prevalence was 2.66%, 0.99% being PROM and 1.76% being PPROM. The factors found significant in this study were low socioeconomic status, previous history of an STI, PV bleeding, abortion, PROM/PPROM, low maternal age, smoking and carrying a multifetal gestation pregnancy. It was evident, though, the strongest predictors were low socioeconomic status, history of an STI, PV bleeding and PROM/PPROM. Foetal distress (62.26%), Prematurity (66.04%) and Foetal infection (67.93%) were the chief foetal complications encountered while abruptio placentae (11.32%) and maternal infections (28.3%) were encountered in the mother. Foetal/neonatal death was encountered in 5 (9.43%) of the cases whereas 1 (1.89%) mother died. The prevalence of PROM/PPROM was 2.66%, a value lower than estimates from studies conducted previously elsewhere. Factors found significant for PROM/PPROM included low socioeconomic status, previous history of PROM/PPROM, PV bleeding, STIs, abortion, low maternal age and multifetal gestation. The outcomes post PROM/PPROM included maternal and foetal infections, abruptio placentae, foetal distress, prematurity, foetal/neonatal death and maternal death