Determinants Of Premature Rupture Of Membrane Among Pregnant Woman Admitted To Labor Wards At Public Hospitals Of South West Shoa Ethiopia, 2023

Abstract

Objective: To identify determinants of premature rupture of membrane among pregnant woman admitted to labor wards at Public Hospitals of South west shoa, Oromia, Ethiopia, 2023. Methods: A hospital-based, unmatched case–control study was conducted from April 2023 to Jun 2023 on 283 pregnant women (94 cases were consecutively selected and 189 controls were systematically sampled) admitted to public hospitals in south west shoa, Oromia, Ethiopia. Data were collected by pre-tested structured interviewer-administered questionnaires, in addition to the interview; the data collectors were reviewing the mother’s medical records/charts and use Anthropometric measurements. The collected data were entered into Epi-Data version 3.1 and exported to SPSS version 23 for analysis. Finally, multivariable binary logistic regression was used to identify determinants of Premature Rupture of Membrane at P-value <0.05. Results: A total of 277 participants (92 cases and 185 controls) were participated in the study with 97.5% response rate. A optimal births interval (AOR= 0.22; 95% CI: 0.09, 0.55), prior history Premature Rupture of Membrane (AOR=3.67; 95% CI: 1.91, 7.11), not using Iron and folate (AOR= 0.34; 95% CI: 0.17, 0.64), Vaginal discharge (AOR=3.53; 95% CI: 1.44, 8.66), Urinary trust infections (AOR= 3.84; 95% CI: 1.84, 8.01) and Mid Upper Arm Circumstance <23cm (AOR= 3.70; 95% CI: 1.86, 7.34), were significantly associated with Premature Rupture of Membrane. Conclusions: In this study, short births interval, Previous history of Premature Rupture of Membrane, not using Iron and folic acid, abnormal vaginal discharge, Urinary trust infections and Mid Upper Arm Circumstance <23cm were determinant of Premature Rupture of Membrane. It indicates that provision of contraceptives, extra followup, supplementation with iron and folic acid and early screening are needed to mitigate its occurrence