The time duration between membrane rupture and the onset of labour is known as the latent period. The maternal and neonatal outcome in term Pre-lebour Rupture of Membranes (PROM) is greatly important to minimize maternal and fetal morbidity and mortality, for the better management and prevention of complications. Analytical cross-sectional study was conducted at the University Obstetrics Unit, Teaching Hospital Anuradhapura. Term pregnant mothers, with POG of 37 weeks and above, who present with pre-labour rupture of membranes, were considered as study population. 120 Pregnant women who are not in active labour were included for the study. All selected participants were observed until their discharge with the baby and necessary details were recorded. Age of the study participants were ranged from 18 years to 40 years (Mean=29.1 yrs: SD=5.3 yrs). Highest representation was observed in age 21-30 yrs group. Period of Amenorrhea of the study participants were ranged from 38 weeks to 40 weeks of gestation. Mean gestation of age was 39 weeks 5 days (SD=0.723 weeks). Majority of participants were belonged to 39+ weeks of gestation (n=97:80.8 %). Occurrence of perineal tear during vaginal delivery was significantly associated with usage of prostaglandin E2 to augment delivery. Only one person who was treated with Co-amoxiclav had fever. Association of Normal vaginal delivery with treatment with prostaglandin was 0.365. Association of Prostaglandin E2 induction with birth asphyxia and SCBU admission were described in Table 4. APGAR score less than 7 during five minutes following delivery was significantly associated with induction from Prostaglandin E2. Majority of babies who admitted to SCBU during post natal period were induced by Prostaglandin E2. Successful outcomes can be achieved by concluding the labour process as early as possible after PROM. The use of prostaglandins to induce labour after PROM is a practical and effective option. The use of prostaglandins is associated with a significant risk of birth asphyxia and perineal laceration. However, it is recognized that the possibilities to overcome the clinical morbidities caused by them are widely available. .
2025-01-01.
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