Determinants of favourable neonatal outcome after premature rupture of membranes (PROM) before 24 weeks of pregnancy – review of the literature and a case report

• Autorzy: Chmaj-Wierzchowska K. , Pieta B. , Buks J. , Wierzchowski M. , Opala T.
• Języki publikacji: EN

Abstrakty

EN

Objectives: Premature rupture of the membranes (PROM) in pregnancy refers to rupture of membranes of the amniotic sac and chorion. The aim of the study was to review the literature and analyze the course of pregnancy (primipara) complicated by the premature rupture of the membranes, and consequent loss of amniotic fluid after 19 weeks of gestation. Study design: A 27-year old primiparous patient was admitted to the Gynaecology and Obstetrics University Hospital in Poznań on 9 December 2010, due to suspected premature rupture of the membranes. On presentation, foetal development was at 19 weeks gestation. Standard clinical investigations included ultrasonography, amniotic fluid index measurements and laboratory blood tests. Results: Ultrasonography confirmed the size of the foetus to be normal for the gestational age. However, no amniotic fluid pockets were visible and the amniotic fluid index was 0 cm. The patient was hospitalized on multiple occasions and as a result a decision was made to end the pregnancy prematurely by means of a caesarean section at 32 weeks of gestation. Longer-term observation of the newborn indicated that one year following delivery, the development of the baby was normal, and thus far no neurological injuries or complications have been observed. Conclusion: The pregnancy was ultimately successfully completed with the delivery of a healthy newborn at 32 weeks of gestation. A regime involving rigorous bed rest and antibiotic administration can positively extend the duration of pregnancies complicated by premature rupture of the membranes.

• Wydawca: -
• Czasopismo: Annals of Agricultural and Environmental Medicine
• Rocznik: 2012
• Tom: 19
• Numer: 3
• Opis fizyczny: p.577-580,fig.,ref.

Twórcy

autor

Chmaj-Wierzchowska K.

• Department of Mother’s and Child’s Health, University of Medical Sciences, Poznan, Poland

autor

Pieta B.

• Department of Mother’s and Child’s Health, University of Medical Sciences, Poznan, Poland

autor

Buks J.

• Department of Mother’s and Child’s Health, University of Medical Sciences, Poznan, Poland

autor

Wierzchowski M.

• Department of Chemical Technology of Drugs, University of Medical Sciences, Poznan, Poland

autor

Opala T.

• Department of Mother’s and Child’s Health, University of Medical Sciences, Poznan, Poland

Bibliografia

• 1. Dinsmoor MJ, Bachman R, Haney EI, Goldstein M, MackKendrick W. Outcomes after expectant management of extremely preterm prematurerupture of the membranes. Am J Obstet Gynecol. 2004; 190: 183-7.
• 2. Hoekstra RE, Ferrara TB, Couser RJ, Payne NR, Connett JE. Survival and long-term neurodevelopmental outcome of extremely prematureinfants born at 23-26 weeks’ gestational age at a tertiary center.Pediatrics. 2004; 113: 1-6.
• 3. ACOG committee on practice bulletins-obstetrics. ACOG Practice Bulletin No. 80: premature rupture of membranes. Clinical management guidelines for obstetrician-gynecologists. Obstet Gynecol. 2007; 109:1007-19.
• 4. Kopyra P, Seremak-Mrozikiewicz A, Drews K. Usefulness of PCT, IL-6, CRP measurement in the prediction of intraamniotic infectionand newborn status in pregnant women with premature rupture ofmembranes. Ginekol Pol. 2010; 81: 336-41.
• 5. Spitz B, Vossen C, Devlieger R, Van Assche FA. Rupture of membranes before 26 weeks of gestation: outcome of 148 consecutive cases. J PerinatMed. 1999; 27: 451-7.
• 6. Falk SJ, Campbell LJ, Lee-Parritz A, et al. Expectant management in spontaneous preterm premature rupture of membranes between 14and 24 weeks› gestation. J Perinat. 2004; 24: 611-6.
• 7. Copper RL, Goldenberg RL, Creasy RK, et al. A multicenter study of preterm birth weight and gestational age-specific neonatal mortality.Am J Obstet Gynecol. 1993; 168: 78-84.
• 8. Kenyon S, Boulvain M, Neilson J. Antibiotic for preterm rupture of the membranes: A systematic review. Obstet and Gynecol. 2004; 104: 1051-7.
• 9. Lamont RF. The prevention of preterm birth with the use of antibiotics. Eur J Pediatr. 1999; 158: S2-4.
• 10. Yudin MH, Van Schalkwyk J, Van Eyk N. Antibiotic therapy in preterm premature rupture of membranes. J Obstet Gynaecol Can. 2009; 31:863-74.
• 11. Hadi HA, Hodson CA, Strickland D. Premature rupture of the membranes between 20 and 25 week’ s gestation: role of amniotic fluid volume in perinatal outcome. Am J Obstet Gynecol. 1994; 1139-44.
• 12. Verma U, Goharkhay N, Beydoun S. Conservative management of preterm premature rupture of membranes between 18 and 23 weeks of gestation-maternal and neonatal outcome. Eur J Obstet GynecolReprod Biol. 2006; 128: 119-24.
• 13. Muris C, Girard B, Creveuil C, Durin L, Herlicoviez M, Dreyfus M. Management of premature rupture of membranes before 25 weeks. Eur J Obstet Gynecol Reprod Biol. 2007; 131: 163-8.
• 14. Halima T. Premature rupture of membranes at week 19: favorable pregnancy outcome and four years follow-up after expectant management. Int J Gynaecol Obstet. 2010; 14 (2).
• 15. Kazimierak W, Karowicz-Bilinska A, Berner-Trabska M. Pregnancy in primigravida complicated by premature rupture of membranes in 15th weeks of pregnancy with successful delivery outcome of the maturenewborn – case report. Ginekol Pol. 2006; 77: 310-3.

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