Outcome of Elderly Pregnancy Complicated with Anaemia and PROM

Gultom, Abitmer and Wijaya, Carissa and Sihombing, Jumaini Andriana (2025) Outcome of Elderly Pregnancy Complicated with Anaemia and PROM. Journal of Advances in Medicine and Medical Research, 37 (6). pp. 9-17. ISSN 2231 0614

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Abstract

Introduction: Premature rupture of membranes (PROM) is defined as the amniotic sac rupture before labor occurs. If PROM occurs at 37 weeks of gestation or more, it is called term PROM or premature rupture of membranes (PROM); conversely, if it occurs before 37 weeks of gestation, it is called preterm PROM or preterm premature rupture of membranes (PPROM). The problem of PROM requires greater attention, because its prevalence is large and tends to increase. Aim: Reporting a case of premature rupture of membranes > 12 hours in a 24-year-old female patient. Case Detail: Case of a 24-year-old female patient G1P0A0, 36-37 weeks pregnant, with complaints of water leaking from the birth canal and diagnosed with premature rupture of membranes > 12 hours. Results: Anemia in pregnancy can worsen the prognosis of PROM through the mechanisms of tissue hypoxia and membrane weakness. In advanced pregnancy, decreased physiological reserves increase the risk of complications. Prompt and appropriate management, including treatment of anemia and close monitoring for infection, is essential to improve maternal and neonatal outcomes. There was active amniotic fluid and red litmus turned blue on speculum examination, and Hb 10 g/dL from blood test, so the patient was diagnosed with G1P0A0, 36-37 weeks pregnant with KPD > 12 hours + anemia. Conclusion: Advanced pregnancy with anemia and PROM requires a multidisciplinary approach to achieve optimal outcomes. Early detection and aggressive intervention can reduce the risk of serious complications. Keywords: Premature rupture of membranes, cesarean section

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