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

Karolina Chmaj-Wierzchowska 1, Beata Pięta 1, Joanna Buks  1, Marcin Wierzchowski  2, Tomasz Opala 1
1 - Department of Mother’s and Child’s Health, University of Medical Sciences, Poznan, Poland
2 - Department of Chemical Technology of Drugs, University of Medical Sciences, Poznan, Poland
Ann Agric Environ Med
2012; 19 (3):
ICID: 1010956
Article type: Review article
 
 
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.
PMID 23020060 - click here to show this article in PubMed
  FULL TEXT STATS

Recommend this article to:

Name:
E-mail:
From:
Language:


Related articles in IndexCopernicus™
     Premature rupture of the membranes [0 related records]
     Infection [423 related records]
     Pregnancy [16519 related records]
     Prognosis [7419 related records]



 

Related articles

A  E. Berezin, A A. Kremzer,
Circulating Osteonectin as a Predictive Biomarker ...
Background: Recently, some studies have revealed Osteonectin’s (OSN) promising role as a marker in cardiovascular diseases. Objectives: This study aimed to evaluate the prognostic value of circulating OSN for cumulative survival and hospitalizat...
ABSTRACT
M Harne, S Harne,
Various Predisposing Factors for Anaemia in Pregna...
Anaemia is one of the major nutritional deficiency disorder affecting a large proportion of population, not only in developing but also in industrialized countries. The high prevalence of iron and other micronutrient deficiency among women bef...
ABSTRACT
M Polat, T Şenol,
Gebelik sırasında adneksiyal torsiyon nedeniyle ...
Amaç: Gebelik sırasında adneksiyal torsiyon saptanarak tedavi edilen hastaların klinik karakteristiklerini değerlendirmek. Yöntemler: 1 Ocak 2011 ile 30 Ekim 2015 tarihleri arasında hastanemizde cerrahi ile tedavi edilen 14 adneksiyal torsiy...
ABSTRACT