Sepsis in patients with preterm premature rupture of membranes

Abstract

Introduction: prematurity is one of the great challenges faced by perinatal medicine at present.
Objective: characterize perinatal sepsis in pregnant women with premature rupture of membranes and preterm delivery between weeks 28 and 36.6 at Ramón González Coro Obstetrics and Gynecology Hospital.
Methods: a cross-sectional observational retrospective study was conducted of 33 medical records from January to December 2008. A form was developed to collect data such as maternal age, risk factors, gestational age at admission, type of delivery and types of sepsis according to laboratory tests.
Results: of the total pregnant women, 42,5 % were in the 20-29 age group, 36,4 % were admitted at 34-36 weeks of pregnancy, 51,4 % had anemia, and 69,7 % underwent cesarean section, 58,3 % had sepsis, and 41,7 % had positive leukocyte counts.
Conclusions: the predominant maternal age was 20-29 years, whereas gestational age at admission was 34-36 weeks. Anemia was the most common risk factor. There was a predominance of cesarean delivery with increased sepsis, and there was a higher proportion of positive leukocyte counts in neonatal sepsis.