Premature rupture of membrane and its associated factors among pregnant women admitted to public hospitals


Premature rupture of membrane and its associated factors among pregnant women admitted to public hospitals


Tilahun Bakala Woyessa(BSc, MSc)1*,Lami Gurmessa Fulea1*(BSc, MSc)2, Aga Wakgari Edossa(MD, Gynecologist, Assistant Professor)3, Ebisa Turi Jambola(BSc, MPH)4 and Ginenus Fekadu Mekonen(BSC, MSc)5

1Department of Midwifery, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia; 2Department of Nursing, College of Health Sciences, Mettu University, Mettu, Ethiopia D; 3 Department of Medicine, Institute of Health Sciences, School of Medicine, Wollega University, Nekemte, Ethiopia; 4Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia; 5Department of Pharmacy, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia


International Research Journal of Obstetrics and Gynecology

Background: Premature rupture of membrane is the common complication of pregnancy which is an important cause for perinatal and maternal morbidity and mortality. However most of the studies done on its prevalence had showed a variation with the global prevalence of premature rupture of membrane. The study was aimed to  assess prevalence and associated factors of premature rupture of membrane among pregnant women admitted to public hospitals in Nekemte town, Western Ethiopia.

Method: An institution based cross-sectional study was carried out from June 1 to July 30, 2019. A systematic random sampling technique was used to select 284 study participants. Interviewer administered structured questionnaires and standardized checklists were used to collect data. Data was  entered into Epi.data 3.1 and exported to SPSS version 25.0.

Results: About, 121(42.6%) of respondents were found in  between the age group of 25-29 years, with the mean of  26.41 and standard deviation of 4.64 (26.41+4.64). The prevalence of premature rupture of membrane was 13.4%with 95% CI (9.9, 17.3). Women who had history of abortion (AOR=3.47, 95% CI: 1.44, 8.37), history of previous premature rupture of membrane (AOR=2.95, 95% CI: 1.15, 7.54), history of cesarean section (AOR=3.56, 95% CI: 1.23, 10.31) and sexually transmitted infection (AOR=7.26, 95% CI: 1.99, 26.46) and ANC follow up (AOR= 0.07, 95% CI: 0.01, 0.63) were significantly  associated with premature rupture of membrane.

Conclusion: The prevalence of premature rupture of membrane among the participants was considered to be high compared to the global prevalence. An intervention that focuses on strengthening the integration of messages on health promotion and disease prevention to maintain normal pregnancies for pregnant women is recommended.


Keywords: Prevalence; premature rupture of membrane; pregnant women; Ethiopia.

Free Full-text PDF


How to cite this article:
Tilahun Bakala Woyessa,Lami Gurmessa Fulea, Aga Wakgari Edossa, Ebisa Turi Jambola, Ginenus Fekadu Mekonen.Premature rupture of membrane and its associated factors among pregnant women admitted to public hospitals in Nekemte town, western Ethiopia.International Research Journal of Obstetrics and Gynecology, 2020, 3:27


References

1. FMOH. MANAGEMENT PROTOCOL ON SELECTED OBSTETRICS. In: FMOH obstetrics management protocol. 2010. p. 160–5.
2. Caughey AB, Robinson JN, Norwitz ER. Contemporary Diagnosis and Management of Preterm Premature Rupture of Membranes. Rev Obstet Gynecol. 2012;1(1):11–22.
3. Authority C. STANDARD TREATMENT GUIDELINE FOR Drug Administration and Control Authority of Ethiopia Contents. 2010.
4. Wolters Kluwer Health I. PRACTICE BULLETIN. Am Coll Obstet Gynecol WOMEN’S Heal CARE PHYSICIANS. 2016;127(1):39–51.
5. Trial ARC, Mackeen AD, Durie DE, Lin M, Huls CK, Qureshey E, et al. Foley Plus Oxytocin Compared With Oxytocin for Induction After Membrane Rupture. 2018;131(1):4–11.
6. Geneva WHO. monitoring health for the SDGs, sustainable development goals. World heath Stat. 2018;13:4–7.
7. Mohan SS, Thippeveeranna C, Singh NN, Singh LR. Analysis of risk factors , maternal and fetal outcome of spontaneous preterm premature rupture of membranes : a cross sectional study. Int J Reprod. 2017;6(9):3781–7.
8. Res IJA, Mahdi A, Alrefaei F, Alzahrani M, Alhafithi M, Rashed A, et al. Prevalence , risk factors , maternal and fetal outcome of PROM in maternity and child hospital Makkah KSA . Manuscript Info Abstract Introduction : – ISSN : 2320-5407 Results : -. Int J Adv Res. 2016;4(12):1461–9.
9. Central Statistical Agency(CSA). Ethiopia. 2016.
10. Statistical C. 2007 Population and Housing Census of Ethiopia Administrative Report Central Statistical Authority Addis Ababa. 2012;(April).
11. Assefa NE, Berhe H, Girma F, Berhe K, Berhe YZ. Risk factors of premature rupture of membranes in public hospitals at Mekele city , Tigray , a case control study. BMC pregnancy child birth. 2018;18.
12. Workineh Y, Birhanu S, Kerie S, Ayalew E, Yihune M. Determinants of premature rupture of membrane in Southern Ethiopia, 2017: Case control study design. BMC Res Notes [Internet]. 2018;11(1):1–7. Available from: https://doi.org/10.1186/s13104-018-4035-9
13. Assefa NE, Berhe H, Girma F, Berhe K, Berhe YZ, Gebrehet G, et al. Risk factors of premature rupture of membranes in public hospitals at Mekele city, Tigray, a case control study 11 Medical and Health Sciences 1117 Public Health and Health Services 11 Medical and Health Sciences 1114 Paediatrics and Reproductive Medicine. BMC Pregnancy Childbirth. 2018;18(1):1–7.
14. Segni H, Digafe Diriba T, Ali E. Incidence, Maternal and Perinatal Outcome of Premature Rupture of Fetal Membrane Cases in Jimma University Teaching Hospital. South West Ethiop EC Gynaecol. 2017;5(September):163–72.
15. Yildiz H, Abali S, Keskin S. Investigation of risk factors according to gestational age in cases with premature rupture of membrane. 2012;
16. Chandra I, Sun L. ScienceDirect Third trimester preterm and term premature rupture of membranes: Is there any difference in maternal characteristics and pregnancy outcomes? J Chinese Med Assoc. 2017;80(10):657–61.
17. STEVEN G. GABBE M. Obstetrics Normal and Problem Pregnancies. 2012. 661–5 p.
18. Hailemariam Segni1 TDD and EA. Incidence, Maternal and Perinatal Outcome of Premature Rupture of Fetal Membrane Cases in Jimma University Teaching Hospital, South West Ethiopia. Cronicon,open Access. 2017;4:163–72.
19. Singh S, Singh SK. Premature Rupture of Membrane Its Factors and Maternal Outcome. IOSR J Dent Med Sci. 2018;17(5):42–8.
20. Okeke T, Okoro O, Ezugwu EC, Agu U. The Incidence and Management Outcome of Preterm Premature Rupture of Membranes ( PPROM ) in a Tertiary Hospital in Nigeria. Am J Clin Med Res. 2014;2(1):2–3.
21. Rodrigo M, Rodrigo R, Kannamani A, College TM. PERINATAL AND MATERNAL OUTCOME IN PREMATURE RUPTURE OF MEMBRANES. J Evol Med Dent Sci. 2016;5(51):3245–7.
22. Biniyam Sirak (MD)1 EM (MD). MATERNAL AND PERINATAL OUTCOME OF PREGNANCIES WITH PRETERM PREMATURE RUPTURE OF MEMBRANES ( PPROM ) AT TIKUR ANBESSA SPECIALIZED TEACHING HOSPITAL , ADDIS ABABA , ETHIOPIA MATERNAL AND PERINATAL OUTCOME OF PREGNANCIES WITH PRETERM PREMATURE RUPTURE OF MEM. Ethiop Med J. 2014;52(4).
23. Padmaja J, Swarupa K. Maternal and Perinatal Outcome in Premature Rupture of Membranes at Term Pregnancy. Int Arch Integr Med. 2018;5(4):87–91.
24. Kaye D. RISK FACTORS FOR PRETERM PREMATURE RUPTURE O F MEMBRANES AT MULAGO HOSPITAL , KAMPALA Objective : To evaluate the epidemiological risk factors in patients admitted a t Mulago Hospital with preterm premature rupture of the membranes from their socio-demogr. East Afr Med J. 2001;78(2).
25. Lovereen S1, Khanum A2, Nargis N3, Begum S4 AR. Maternal and Neonatal outcome in premature rupture of membranes. Bangladesh J Med Sci. 2017;17(03):479–83.
26. Eriksson M, Milsom I, Ladfors L. Prevalence and risk factors for prelabor rupture of the membranes ( PROM ) at or near term in an urban Swedish population Prevalence and risk factors for prelabor rupture of the membranes ( PROM ) at or near term in an urban Swedish population. J Perinat Med. 2019;28(February 2000):491–6.
27. Olson C, Kripa C, David B. Chlamydia trachomatis and Adverse Pregnancy Outcomes : Meta- analysis of Patients With and Without Infection. Matern Child Health J. 2018;2(7):1–10.