Abstract:

Aim: To evaluate the maternal and perinatal outcomes of cases with rupture of membranes before fetal viability. Materials and Methods: Between March 2020 and March 2022, pregnant women with a gestational age between 14+0 and 22+0, who diagnosed with rupture of membranes were included in the study. Maternal and perinatal outcomes of the cases were compared in terms of demographic and clinical characteristics according to the management type of pregnancy. Results: 42 cases were included in the study. 12/42 (28.6%) of these cases have wanted the termination of their pregnancy, 30/42 (71.4%) cases have preferred the expectant management. Spontaneous abortion occurred in 19 of 30 cases who preferred the expectant management, while live birth occurred in 11 cases. Six infants died during the neonatal period and overall neonatal survival was 45.5% (5/11). When expectant management and miscarriage cases were compared, there was a statistically significant difference for the gestational week at membrane rupture occurred (p>0.001), gestational week at spontaneous abortion/delivery occurred (p>0.001) and latency period (p>0.001). Conclusion: Rupture of membranes in pre-viable pregnancies presents patients and clinicians with a difficult decision-making process to choose between expectant management or termination of pregnancy. The neonatal survival rate, which is the ultimate goal in patients who prefer expectant management, is very low.

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