%0 Journal Article
%T Expectant Management of Preterm Ruptured Membranes before 34 Gestational Weeks at the University Hospital of Kinshasa, a Tertiary Referral Hospital in the Democratic Republic of Congo
%A Roger Mbungu Mwimba
%A Anselme Mbungu Mulaila
%A Jo£¿lle Lumaya Ambis
%A Andy Mbangama Muela
%A Adrien Tandu Umba
%A Berry Kinkenda Nsiangangu
%A Malka Salamo Azama
%A Th¨¦r¨¨se Biselele Bakambuvua
%A Kahindo P. Muyayalo
%J Open Journal of Obstetrics and Gynecology
%P 633-648
%@ 2160-8806
%D 2022
%I Scientific Research Publishing
%R 10.4236/ojog.2022.127057
%X Premature Rupture of Membranes (PROM)</span><span></span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">with the resulting prematurity remains a major public health issue in the </span><a name=\"_Hlk93079514\"></a><span style=\"font-family:Verdana;\">Democratic Republic of Congo (DRC). This study aimed
to assess expectant management of PPROM before 34 weeks at the university
hospital of Kinshasa. We conducted a retrospective analysis of expectantly
managed PROM before 34 weeks between January 2008 and December 2018.</span></span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">Maternal and fetal outcomes
were collected, and all data were analyzed using the SPSS 23.0 software. Of the
113 patients included in the study, 2.6% were diagnosed with PROM before 34
weeks. </span><a name=\"_Hlk81040712\"></a><span style=\"font-family:Verdana;\">We observed prolongation of the pregnancy
duration; the median latency period was eight days, and the average
gestational age at delivery of 32.85 ¡À 2.5 weeks. Chorioamnionitis (23%),
severe oligoamnios (7%), and acute fetal distress (4%) were complications
observed during the latency period. In the postpartum period, endometritis
(6.2%), neonatal jaundice (39.8%), anemia (25.7%), ul</span><span style=\"font-family:Verdana;\">cerative necrotizing enterocolitis (6.2%), cerebromeningeal hemorrhage
(5.3</span><span style=\"font-family:Verdana;\">%), and acute respiratory distress syndrome (4.4%) were
complications observed. The risk of infection during the latency period was
significantly associated with irregular (</span><i><span style=\"font-family:Verdana;\">P</span></i><span style=\"font-family:Verdana;\"> = 0.045) or lack (</span><i><span style=\"font-family:Verdana;\">P</span></i><span style=\"font-family:Verdana;\"> =
0.006) </span><a name=\"_Hlk93079581\"></a><span style=\"font-family:Verdana;\">antenatal care (ANC) attendances and
C-Reactive Protein</span></span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:Verdana;\">(CRP)
results </span><span style=\"font-family:Verdana;\">&lt;</span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\"> 6 (</span><i><span style=\"font-family:Verdana;\">P</span></i><span style=\"font-family:Verdana;\"> = 0.013). The risk of neonatal death was significantly
associated to infection during the latency period (</span><i><span style=\"font-family:Verdana;\">P </span></i><span style=\"font-family:Verdana;\">=
%K Premature Rupture of Membranes
%K Gestational Age
%K Expectant Management
%K Pregnancy Outcomes
%K D. R. Congo
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=118773