Title:Exploring the Incidence of Premature Rupture of Membrane and its Associated
Factors in Public Hospitals of Eastern Zone Tigray Region,
Ethiopia, 2019
Volume: 18
Issue: 1
Author(s): Desta Abraha Weldegeorges, Fissaha Tekulu Welay*, Meresa Berwo Mengesha, Senait Gebreslasie Gebremeskel, Selam Shushay Kassahun and Tsige Shushay Gebremedhin
Affiliation:
- Department of Midwifery, College of Medicine and Health Sciences, Adigrat University, Adigrat, Ethiopia
Keywords:
Premature rupture of membrane, incidence, associated factors, pregnant mother, public hospitals, obstetric.
Abstract: Background: Premature membrane rupture is an obstetric emergency when the fetal
membrane ruptures and the amniotic fluid is expelled from the uterus at least one hour before the
start of labor. The incidence of PROM during pregnancy is a concern to obstetrics as it is associated
with many adverse pregnancy outcomes such as chorioamnionitis oligohydramnios, preterm
labour, neonatal sepsis and neonatal asphyxia.
Objective: The aim of this study was to explore the incidence of premature rupture of membranes
and its associated factors in public hospitals of the eastern zone, Tigray region, Northern Ethiopia,
2019.
Methods: The authors used a facility-based cross-sectional study design to study 212 participants
from April to May 2019. The sample size was calculated by using a single population proportion
formula. An interviewer-administered, pre-tested, and structured questionnaire was used to collect
the data. The analysis was run using SPSS version 20. Finally, the odds ratio with 95% CI was
used to measure the association after multivariable analysis and statistical significance was evaluated
at p-value <0.05.
Results: The incidence of premature rupture of a membrane in this study was 29 (13.7%). The multivariate
logistic regression analysis revealed that predictors like multigravida 2.1(1.94-6.03) having
sexually transmitted infection AOR 1.3 and 95% CI (1.02-5.56) and previous history of premature
rupture of membrane AOR and 95% CI 3.9 (1.9-10.02) were found to be associated with the
occurrence of premature rupture of membrane.
Conclusion: The incidence of premature rupture of the membrane in this study was high. Hence its
occurrence put the health of the mother and the fetus in danger. Pregnant mothers with preexisting
obstetric and medical cases should be followed with special emphasis as a pretext to prevent the occurrence
of maternal and neonatal adverse outcomes.
