ABSTRACT

Conclusions:

SPD and PPROM cases had the same risk factors and clinical features and obstetric outcomes were similar. Our findings support the opinion that these two situations are different reflections of the same disease.

Results:

One hundred and four (17.4%) preterm births were detected among a total of 596 delivery for a duration of 8 months in 2006. 46 of 104 (44.2%) preterm birth cases were SPD (Group 1), 42 (40.3%) were PPROM (Group 2) and the rest 16 cases (15.3%) were preterm birth of obstetrical causes. Eighty eight preterm birth cases with SPD and PPROM were analyzed retrospectively. Demographic features of both groups were similar. “PPROM history in previous pregnancy”, one of the risk factors for preterm labour, was positive in 19 (45%) of PPROM cases and in 5 (11%) of SPD cases (p< 0.05). No significant difference in other risk factors was detected. Gestational age at birth, Apgar scores in 1- and 5-min and birthweight, clinical follow-up parameters, management, and obstetric outcomes, were similar as well (p> 0.05).

Main Outcome Measures:

Demographic features, clinical follow up, management and obstetric outcomes in SPD and PPROM cases; risk factors for preterm delivery.

Interventions:

None.

Patients:

Preterm delivered pregnant women.

Setting:

KSU Medical Faculty Department of Obstetric and Gynecology, Kahramanmaraş.

Design:

A retrospective study.

Objective:

To compare cases of Spontaneous Preterm Delivery (SPD) and Preterm Premature Rupture of Membrane (PPROM).