Early-onset neonatal infection in pregnancies with prelabor rupture of membranes in Kosovo: A major challenge/Kosova'da erken membran rupturu olan gebelerde erken baslangicli neonatal enfeksiyon: Onemli bir sorun

• Published in: Turkish journal of obstetrics and gynecology 2018-09, Vol.15 (3), p.171
• Main Authors: Ibishi, Vlora Ademi, Isjanovska, Rozalinda, Malin, Anne E
• Format: Article
• Language: English
• Subjects: Communicable diseases; Diagnosis; Health aspects; Infants; Pregnancy
• ISSN: 2149-9322
• DOI: 10.4274/tjod.73600

Objective: Prelabor rupture of membranes (PROM) is a common event in obstetrics that has a major impact in pregnancy outcome. This condition is linked to a number of pregnancy and birth complications with early-onset neonatal infection (EONI) being one of the major threats. This study was undertaken to determine the rate of neonatal infection in newborn infants with a maternal history of PROM and to evaluate the association of risk factors with neonatal infection following PROM. Materials and Methods: A cross-sectional descriptive design was used to analyze a population of 200 pregnant women presenting to the Obstetrics and Gynecology Tertiary Center in Kosovo (between 2013 and 2015) with PROM who gave birth to single newborns. Data including demographic characteristics, neonatal outcome, and risk factors for infectious neonatal morbidity were recorded and analyzed. Results: The study included 200 pregnant women with PROM and their newborns. Participant demographics included: the majority were young, aged between 20 and 29 years (67%), primiparous (67.5%), unemployed (92%), completed secondary level of education (83%), and with middle socioeconomic status (86%). Overall, 13 % of the newborns had early-onset neonatal infection, and sepsis was proven in 5% of cases. Newborns of mothers with risk factors such as preterm (