Maternal Outcomes of Premature Rupture of Membrane and Associated Factors in East Gojjam Zone Public Hospitals, North West, Ethiopia, 2022
Fekadu Baye*, Kumlachew Solomon, Getachew Tilaye, Habtamu Ayele, Geremew Bishaw and Melaku Laikemariam
Abstract
Introduction: Premature rupture of the membranes is rupture of fetal membranes at least one hour before the onset of labor. The burden of this problem ranges from maternal mortality and morbidity to national economic loss due to drug expenses and expenses on work load to the health professionals. Though studies were conducted on maternal outcomes of premature rupture of membrane in Ethiopia, there is a lack of information on its facilitating factors for each maternal outcome in the study area.
Method: A cross-sectional study was conducted among 218 pregnant mothers diagnosed with premature rupture of membrane from May 18-2022 to June 18-2022. A systematic random sampling method was employed to select the study participant. Data was collected from the mother’s clinical record. A standardized data collection checklist was used to extract the data from the participants’ charts. Data was entered to Epi-data 4.2 and exported to SPSS 25 for analysis. Independent variables with p-value of < 0.05 in the multivariable analysis were considered as statistically significantly associated with the outcome
variable, and its strength of association was measured using AOR.
Results: In this study the proportion of unfavorable maternal outcome of PROM was (56) 25.7% [95% CI: 20, 32%]. Being rural resident (AOR 2.98, 95% CI: 1.367, 6.483) and advanced maternal age more than 36 years old (AOR = 2.44, 95% CI: 1.121, 5.313) were significantly associated factors with unfavorable maternal outcomes of premature rupture of membrane.
Conclusion: Premature rupture of membrane in East Gojjam Zone Public hospitals has a huge unfavorable maternal outcome. It is associated with rural residence and advanced maternal age. Hospital administrative bodies and professionals are advised to give special attention to rural mothers to safeguard this problem.
