Compare Neonatal Complication in Group of Spontaneous Preterm versus PPROM Group
Author(s): Tahmineh Ezazi Bojnordi, Sedigheh Hantoushzade
A delivery before 37 weeks of gestation is classified as preterm deliveries. Preterm birth is associated with higher risk of mortality and morbidity among neonates. PPROM (preterm premature rupture of the fetal membranes) is one of the causes of preterm delivery. As preterm birth is associated with several neonatal complications, we designed this study to compare neonatal complication in group of spontaneous preterm versus PPROM group. This retrospective study conducted in Imam Hospital. Medical records of 300 preterm deliveries were reviewed and data regarding maternal age, neonatal birth weight, sex, gestational age, parity, apgaar score, and neonatal complications were extracted. According to gestational week, we groups neonates into 3 groups, 24-28 weeks (16 neonates), 28-32 weeks (42 neonates), 32-(36 weeks +6days) (242 neonates) and then compared complication in these groups according to cause of preterm birth (PROM, or spontaneous). All data were analyzed using SPSS. Frequency of IVH, Icter, respiratory distress, apnea, RDS, PPV, CRP and death were significantly different between three groups of gestational age. There was no significant difference between PROM and spontaneous group regarding gestational age between 24-28 weeks. There was no significant difference between PROM and spontaneous group regarding gestational age between 28-32 weeks. Frequency of respiratory distress and pneumonia were significantly higher in spontaneous group in cases with gestational age between 32-36 weeks. Literature showed that respiratory distress syndrome occurs higher in spontaneous group than preterm PROM neonates in gestational age between 32-36 weeks.