Abstract:

Early membrane rupture (EMR) is one of the most important causes of premature sepsis. Factors that increase the risk of sepsis in EMR are: clinical corioamnion, male sex, perinatal asphyxia, prematurity, time of membrane retreat, the presence of abnormal colonization in the mother and/or genitouriner infection. Our aim in this study is to investigate the effect of EMR on sepsis morbidity in therm and preterm babies, to identify the frequency and risk factors. Tools and methods: In our hospital, babies born live between January 2006 and December 2007 were examined with early membrane rupture in their mother. Babies with Term and Preeterm EMR were compared in terms of sepsis frequency, mortality and morbidity. Results: 38 live born in our hospital between January 2006 and December 2007 422 of the 730 babies were diagnosed with EMR. 44% of these babies were preeterm and 56% were therm. While the girls/men rates were the same in both groups, the rate of being small (SGA) compared to the week in pre-EMR babies was significantly higher compared to the terms. In 4.2% of all babies with EMR, in 8% of pre-treatments, in 1.2% of thermals, early infection was detected. The average EMR duration in developing patients was 145.4±151 hours (24 hours-30 days), and in developing patients 80±181 hours (18 hours-75 days) (p=0.051). 3.4% of babies with EMR had clinical corioamnion, but none of these babies had early sepsis. In 38% of babies diagnosed perinatal asphyxia (PNA) in the prey, infection developed and the PNA was found to be a risk factor for infection development in the prey. In 23% of pre-infections followed with the cause of early infection, and in 40% of them, reproduction was found in mother cultures. The average birth weight of infection-developed babies was 1770±480 g, the average pregnancy week of infection-developed babies was 34±2.6 weeks, the average pregnancy week of infection-developed babies was 36±3.1 weeks. The result: Pre-born and low birth weight accompanied by SGA and the presence of asphyxia was found that the mother's reproduction in cervical/urine cultures increased the risk of early infection, sex, corioamnion and EMR period had no effect on the development of infection.

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