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Determinants of prelabour rupture of membrane among pregnant women admitted to Hospitals in Wolaita zone, southern Ethiopia, 2022

Adisu Ashiko1*, Temesgen Lera1, Sintayehu Kussa2, Temesgen Geta3, Getu Kassaye4, Cherinet Tilahun5

Introduction: Prelabour rupture of membrane refers to rupture of the membranes and leakage of amniotic fluid before the onset of true labor. It can lead to significant maternal, fetal, and neonatal complications. It complicates 8% to 10% of all pregnancies. Objective: To identify the determinants of prelabour membrane rupture among pregnant women admitted to hospitals in the Wolaita zone in southern Ethiopia in 2022. Methods and materials: A facility-based, unmatched case-control study was conducted at selected hospitals in Wolaita zone from 15 August to 20 October, 2022. Three consecutive controls were included in the study. The study population included all pregnant women admitted to the selected hospitals. The collected data were entered into Epi data version 4.6.0.2 and exported to the Statistical Package for Social Science (SPSS) version 25.0. Bivariable and multivariable logistic regression analyses were performed Result: A total of 384 participants (96 cases and 288 participants) were included in this study. A history of abortion (AOR 3.21 [95% CI: 1.15–8.92]), history of prelabor rupture of membrane (AOR 3.76 [95% CI: 1.46–9.62]), history of caesarean delivery (AOR 3.57 [95% CI: 1.83–6.96]), history of invasive uterine procedures (AOR 6.23 [95% CI: 2.08–18.55]), history of chronic medical conditions (AOR 5.20 [95% CI: 1.18–23.02]), and history of ever using contraceptive methods (AOR 0.33 [95% CI: 0.19–0.58]) were significantly associated. Conclusion: Health facilities should have well-managed recording systems, and patient-card stores. Focused ANC has contributed to the early detection and treatment of high-risk mothers. Health workers must update their scientific knowledge. Mothers should have encouraged to family planning utilization.