Effccts of Prctcrm Prcmature Rupture of Membranes on the Newborn Infants

Yoo, Y K; Seo, K; Park, Y W; Choi, S M; Lee, K; Lee, Y H; Namkung, R

Abstract

Management of preterm premature rupture of the membranes (PPROM) represents a clinical dilemma for the obstetrician. Several randomized controlled trials showed that if the membranes had been ruptured, they recommanded immediate delivery for reducing infectious complications, however others recommanded expectant and conservative management for reducing complications related to prematurity. In this study, we compared the neonatal mortality and morbidity between neonates with and without ruptured membranes. 1. The incidence of PPROM was 3.1 percents of total birth. 2. Neonatal death, respiratory distress syndrome, asphyxia, ventilator care, pneumonia, intraventricular hemorrage and urinary tract infection were not different between two groups, however there were significantly statistical differences of hyperbilirubinemia and NICU care. 3. Hperbilirubinemia and NICU care showed significantly statistical differences between two groups, especially after 35 gestational weeks. 4. There were significant increases in ventilator care and NICU care, however no increases were found in other infectious morbidity and respiratory distress syndrome. In conclusion, there was no difference between two groups on infectious morbidity and neonatal death and we may suggest that such findings were resulted from the prophylactic antibiotic therapy.