Abstract

SANCHEZ RAMIREZ, Niobys et al. Neonatal morbidity and mortality in patients with premature rupture of membranes. Rev Cubana Obstet Ginecol [online]. 2013, vol.39, n.4, pp. 343-353. ISSN 0138-600X.

Introduction: according to the World Health Organization, approximately 40 % of preterm births are preceded by premature rupture of membranes. Objective: to identify neonatal morbidity and mortality in patients who had premature rupture of membranes between 28.0 and 32.6 weeks at Ramón González Coro Maternity Hospital. Methods: a retrospective study was conducted in 45 pregnant women with preterm premature rupture of membranes between 28.0 and 32.6 wk gestational age, they were admitted to Ramón González Coro Maternity Hospital, from January 2006 to December 2008. Percentage, frequencies, and average data contingency were estimated. The information was processed using SPSS 11.5. Results: 48.9 % weighed less than 1 500 g, 22.0 % had respiratory distress syndrome and hyaline membrane disease, 60.0 % of those who continued with watchful approach for more than 8 days after completed antimicrobial treatment, had neonatal sepsis, 50.0 % had hyaline membrane disease after 8 days receiving inducers of fetal lung maturity, all dead cases weighed less than 1 500 g. Conclusions: about half of these infants weighing less than 1 500 g. Hyaline membrane disease and neonatal sepsis were the most common complications. Hyaline membrane disease was predominant in those who completed steroid therapy for more than eight days. Neonatal mortality was significant in infants weighing less than 1 500 g.

Keywords : neonatal morbidity; neonatal mortality; premature rupture of membranes; preterm delivery; hyaline membrane; chorioamnionitis; inducing lung maturity.

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