DOI: https://doi.org/10.36347/sjams.2026.v14i04.025

Pages: 584-589

Background: Preterm premature rupture of membranes (PPROM) is a significant obstetric complication contributing to maternal and neonatal morbidity, particularly in late preterm pregnancies. It is associated with risks such as infection, preterm birth and adverse neonatal outcomes. Despite advances in obstetric care, optimal management strategies for PPROM between 34 to 36 weeks remain debated. This study aimed to evaluate the fetomaternal outcomes of PPROM between 34 to 36 weeks of gestation in a tertiary care setting. Methods: A prospective observational study was conducted at the Department of Obstetrics and Gynaecology, Enam Medical College, Dhaka, Bangladesh from January to December 2018. A total of 300 women with confirmed PPROM were included. Data on socio-demographic characteristics, latency period, mode of delivery, maternal complications and neonatal outcomes were collected and analyzed using SPSS version 25.0. Results: The majority of women were aged 20–29 years (59.3%) and primigravida (56.0%). Most deliveries occurred within 24 hours of membrane rupture. Vaginal delivery was the predominant mode (64.0%), while caesarean section was more frequent with prolonged latency. Maternal complications were observed in 34.0% of cases, with chorioamnionitis being the most common (9.3%). Neonatal outcomes showed that 32.0% required NICU admission. Respiratory distress syndrome (17.3%) and neonatal sepsis (12.7%) were the most frequent complications. Neonatal mortality was 3.3%. Conclusion: PPROM in late preterm gestation is associated with moderate neonatal morbidity despite relatively favorable maternal outcomes. Careful monitoring and timely clinical decisions are crucial to improving outcomes.