الفهرس 
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Abstract
Premature rupture of membranes (PROM) is one of the most confusing and controversial problems facing clinicians. The exact etiology of PROM is unknown, although many predisposing factors were suggested such as infection, malnutrition and smoking (Mercer, 2003).
Premature rupture of the fetal membranes (PROM) is a complication that affects 10% to 20% of all pregnancies. PROM is the largest cause of preterm delivery and is associated with increased rates of neonatal and maternal morbidity and mortality. It is therefore important to devise maternal health nursing to prevent PROM. (Ripoll et al., 2005).
The present study was carried out with the aim of screening risk factores of PROM and nursing role for prevention.The current study was conducted at three settings in Menofiya Governorate, namely maternal and child health center (MCH), Shebin El.Kom Teaching Hospital, and University Hospital.
Convenient sample consisted of 200 pregnant women and 30 nurses. The inclusion criteria were both primigravida and multigravida, Gestational Age 24 – 36 GA,. The sample was divided into two groups selected according to matching criteria the assigning the first one to the study group and the second one to the control group as following:
1- Study group which included (100) pregnant women who received short and easy information about definition of PROM,signs and systoms,complications,risk factors,and nursing role for prevention.
2- Control group included (100) pregnant women who received the routine antenatal care by nursing staff but not receive teaching by the investigator.
3- Throughout the course of the present study, data were collected using three tools which were developed by the researcher and revised by a jury of qualified experts(3), then tested for validity and reliability. Tools were:
Tool 1: interview questionnaire form included sociodemographic data, present obstetric history.medical history, risk factors of PROM.
Tool 2; Knowledge questionnaire regarding PROM(pre&post).
Tool 3:Observational sheet for nurses practice(pre&post)
Data were collected through a period of approximately 10 months, from April 2013 to January 2014.
Approaches to ensure ethics were considered in the study regarding confidentiality and the informed consent. The investigator introduced herself to the sample and explained the purpose of the study in order to obtain their acceptance to be recruited in the study as well as to gain their cooperation.
Confidentiality was achieved by the use of locked sheets with the names of the participants replaced by numbers. All women were informed that the information they provided during the study would be kept confidential and used only for statistical purpose and after finishing the study, the findings would be presented as a group data with no personal participant’s information remained.
After explanations prior to enrollment in the study, informed consent was obtained verbally from all women. Each woman was informed that participation in the study was voluntary, and that she could withdraw from the study whenever she decided to and each one was given the opportunity to freely refuse participation. They were free to ask any question about the study details.
The findings of this study support the hypothesis that Women who follow regular regular antenatal care are lower exposure to PROM than those who not follow.
The main findings of the current study were as follows:
• As regards to age of pregnant women ranged between 20-30 years
• Concerning the demographic characteristics of study candidates, the majority of cases were housewives 77%of the study and 89%of the control group respectively.
• Regarding level of education, around one third and half (40%) of them were finished basic and secondary eduction.
• Regarding antenatal care, nearly all women in study and control group had follow up during pregnancy (93%nd 85%) respectively. • statistically significant difference could be revealed among nurses regarding knowledge about definition, sign and symptom, complication, risk factor, prevention of PROM after teaching session.
• statistically significant difference could be revealed among nurses regarding their practice after teaching session.
• Statistically significant difference could be detected (p>0.005) beween two group regarding occurrence of PROM in study 3%compared to 14% in control group.