Management of premature rupture of membranes at Sohag University Hospital: A clinical audit

Document Type : Original Article

Authors

1 Obstetrics and Gynaecology, Faculty of Medicine, Sohag University, Egypt

2 Department of obstetric and Gynecology

3 Obstetrics and Gynecology faculty of medicine Sohag university

4 Obstetrics and Gynaecolog department,faculty of medicine.sohag university

Abstract

Background: Premature Rupture of membranes is not unusual yet the management is contentious, even at term. When it happens in a pregnancy that approaches full term, labor is expected to start naturally, without surgical or medical support. Expectant management was used where the rate of surgical intervention was greater, without rising in the perinatal and maternal complications. Clinical audit is a process of quality improvement which aims to improve patient care and outcomes by systematically reviewing care against specific standards and reviewing change.
Objectives: All cases of PROM at Sohag University Hospital were recruitted for auidt management.
Patients and methods: 73 cases were enrolled over a period of 6 months from February 2019 to August 2019.
Results: The main results of the study were identifying areas with nearly optimal care and areas with substandard care in the management of cases with PROM at Sohag University Hospital. They enabled the assessment of the practice at the Sohag University Hospital to see if this meets the recommended clinical practice guidelines (CPG).
Conclusion: Rupture of fetal membranes once has occurred, the debate lies regarding whether or not to deliver the baby according to the gestational age. Careful identification of present or possible complications, and each case should be dealt with separately based on gestational age and the presence or likelihood of these complications currently holds best hopes for optimizing fetal and maternal outcome in PROM patients.

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