Treatment in pregnancy with pretern rupture of membranes a retrospective study

at Dr. Wahidin soedirohusodo Hospital

Witjaksono W, Soenarno I

Obstetrics and gynecology Department

Hasanudin university medical faculty
Dr. Wahidin Soedirohusodo General Hospital
Makassar,

Objectives: To evaluate the immediate effects of administering antibiotics to

women with PROM before 37 weeks, on maternal morbidity.
Material and methods: 119 cases of pretern pregnancy with PROM, which met
the criteria, had been collected from medical record Dr. Wahidin Soedirohusodo
makassar 2006-2008. The study was analyzed pre and post partum conducted by
leucositosis and post treatment result. The results were subjected to statistical analysis.
Results: The use of antibiotics following PROM is associated with a statiscally
significant reduction in maternal morbidity. There was a reduction in the number of
maternal treatment within 3-5 days by decreasing of leucosyte cell. Maternal outcome
results was assigned with longtime hospital treatment.
Conclusion: premature birth carries substantial neonatal morbidity and mortality.
One cause, associated with preterm rupture of membranes ( PROM ), is often subclinical
infection. Antibiotic administration following PROM is associated with low risk in
maternal morbidity. These data support the routine use of antibiotics in PROM. The
choice as to which antibiotics would be preferred is broad spectrum e.g amoxicillin.
Keywords: preterm pregnancy, preterm rupture of membrane ( PROM ),
leucositosis.

Correlation of admission test in PROM with incidence of fetal distress in Dr.

Mohammad Hoesin Hospital Palembang

Ichsan M, Patmawati, Syamsuri AK, Ansyori H

Obstetrics and gynecology Department

Faculty of medicine Sriwijaya University
Dr. Mohammad Hoesin Hospital
Palembang,
 Objectives: To analyze correlation between admission test result and incidence of
fetal distress in labor with premature rupture of the membrane and to identify duration
between initiation of admission test and fetal distress.
Material and methods: this was a prospective study in which subjects enrolled
from in partu patients with premature rupture of the membrane at term. This study was
conducted in delivery room of department of obstetrics and gynecology of Dr.
Mohammad Hoesin Hospital, Medical Faculty of sriwijaya university, palembang. In
study period ranging from November 1, 2006 to October 31, 2007.
Results: Results showed 14 subjects ( 28% ) within fetal distress-expected group
and the rest of 36 subjects ( 72 % ) within normal group. Of 14 subjects expected to have
fetal distress by admission test results, there were 9 subjects ( 64.3% ) with fetal distress
while 5 subjects ( 35.7% ) had no fetal distress. In 9 ( 69.2% ) subjects of who were
expected to have fetal distress by admission test results and had fetal distress, duration to
fetal distress was less than 5 hours. Meanwhile in normal group, of 4 subjects ( 30.8% ),
there were 1 subject ( 7.7% ) who had fetal distress in less than 5 hours and 3 subjects
( 23.1% ) who had fetal distress in 5 hours or more.
Conclusion: There was a significant correlation between admission test and
incidence of fetal distress. there was a significant correlation between admission test and
period to fetal distress.
Keywords: PROM, Fetal distress, admission test.