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Corresponding Author

Ahmed Eed Ibrahim Mousa

Document Type

Original Article

Abstract

Background: Premature rupture of membranes (PPROM) is the term used to describe the spontaneous breaking of the fetal membranes before 37 weeks of pregnancy, with at least one hour passing between the rupture and the start of contractions.

Aim and objectives: To reduce the incidence of maternal and newborn morbidity and mortality associated with premature rupture of membranes (PPROM).

Patients and methods: This prospective comparative study was conducted on 100 women divided into two equal groups, who will undergo delivery following home or hospital care following PROM during the study period from October 2021 to October 2022, presenting to the Obstetrics and Gynecology Emergency Department in AL-Hussein University Hospital, for delivery after receiving either a hospital or home care for PPROM between 30 weeks to 34 weeks gestational age.

Results: The tested groups' age, BMI, and parity did not show any significant differences. The hospital group substantially reduced the length of stay compared to the home group (P value<0.001). The mode of birth and gestational age at delivery did not show significant differences among the groups under study. The neonatal and maternal outcomes showed no significant differences between the groups under study.

Conclusion: Regarding the mode of delivery, gestational age at delivery, and neonatal and maternal outcomes. The groups did not exhibit any statistically significant differences. Although shorter hospital stays may benefit, these findings imply that overall, hospital care does not significantly affect mother and newborn outcomes in PROM cases.

Keywords

Planned Domiciliary; Hospital Care; Premature Rupture of Membranes

Subject Area

Obstetrics and Gynecology

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