Health Condition 1: 1- Obstetrics
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Pregnant women with confirmed PROM (spontaneous rupture of membranes before the onset of labor). 2. Singleton pregnancies. 3. Gestational age more then or equal to 28 weeks. 4. Women willing to participate and provide informed consent.
Exclusion criteria
Exclusion criteria: 1. Gestational age less than 28 weeks 2. Post caesarean pregnancy 3. Multiple pregnancies 4. Malpresentation 5. Ante partum haemorrhage 6. Meconium stained liquor 7. Congenital anomalies 8. Pregnant women with pre-existing maternal infections (e.g., HIV, active tuberculosis).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maternal and neonatal outcomes will be monitored from admission until discharge, including maternal complications such as chorioamnionitis, postpartum hemorrhage, maternal sepsis, and cesarean delivery, as well as neonatal outcomes like sepsis, NICU admissions, low Apgar scores, preterm birth, respiratory distress syndrome, and perinatal mortality.Timepoint: 1 hour after the admission, 1 hour before discharge | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Duration from PROM to delivery & its impact on maternal & neonatal outcomes. 2. Mode of delivery (vaginal vs. cesarean section) & associated maternal morbidity. 3. Need for antenatal corticosteroids & its effect on neonatal respiratory outcomes in preterm PROM. 4. Prophylactic antibiotics (cefotaxime 1 gm BD & metronidazole 500 gms BD) use & its effectiveness in preventing maternal & neonatal infections. 5. Comparison of maternal & neonatal outcomes between term PROM (equal to or more then 37 weeks) & preterm PROM (less than 37 weeks). Timepoint: 1 hour after the admission, 1 hour before discharge | — |
Countries
India
Contacts
Bhaktivedanta hospital and Research institute