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Review paper

Premature and preterm premature rupture of membranes in adolescent compared to adult pregnancy

By
Sergije Marković Orcid logo ,
Sergije Marković
Contact Sergije Marković

Department of Histology and Embryology, School of Medicine, University of Tuzla, Tuzla, Bosnia and Herzegovina

Gordana Bogdanović ,
Gordana Bogdanović

Clinic for Gynaecology and Obstetrics, University Clinical Centre Tuzla, Tuzla, Bosnia and Herzegovina

Anis Cerovac
Anis Cerovac
Contact Anis Cerovac

Department of Gynaecology and Obstetrics, General Hospital Tešanj, Tešanj, Bosnia and Herzegovina

Department of Anatomy, School of Medicine, University of Tuzla, Tuzla, Bosnia and Herzegovina

Abstract

Aim
To compare the prevalence of premature rupture of membranes (PROM) and preterm premature rupture of membranes (PPROM) between adolescent and adult pregnancies, and the influence of gestational age and adolescent pregnancy on the frequency of occurrence of PROM and PPROM.
Methods
This prospective study included 300 pregnant patients, 13 to 35 years of age, divided into two groups. The first group consisted of 150 pregnant women aged 13-19 (experimental group) and the second group consisted of 150 pregnant women aged 20-35 (control group).
Results
There was a statistically significant higher incidence of both PPROM and PROM in the group of adolescent pregnant women compared to adult pregnant women (p<0.000001). Preterm delivery with PPROM was significantly more common in the group of adolescent pregnant women (p<0.004). Term delivery with PROM was statistically significantly more common in the adolescent pregnancy group than in the adult pregnancy group (p<0.001). Term delivery with PROM was statistically significantly more common than preterm delivery with PPROM in the group of adolescent pregnant women (p<0.0001).
Conclusion
Adolescent pregnancy has a greater impact on the frequency of PROM and PPROM.

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