Previable preterm rupture of membranes: gestational and neonatal outcomes

dc.creatorMargato, MF
dc.creatorMartins, GLP
dc.creatorPassini, R
dc.creatorNomura, ML
dc.date2012
dc.dateJUN
dc.date2014-07-30T18:08:13Z
dc.date2015-11-26T18:05:27Z
dc.date2014-07-30T18:08:13Z
dc.date2015-11-26T18:05:27Z
dc.date.accessioned2018-03-29T00:47:46Z
dc.date.available2018-03-29T00:47:46Z
dc.identifierArchives Of Gynecology And Obstetrics. Springer Heidelberg, v. 285, n. 6, n. 1529, n. 1534, 2012.
dc.identifier0932-0067
dc.identifierWOS:000304151800006
dc.identifier10.1007/s00404-011-2179-0
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/70259
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/70259
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1293145
dc.descriptionPreviable (less than 24 weeks) premature rupture of membranes complicates about 1 in every thousand births and is responsible for substantial perinatal mortality. In this paper, we retrospectively analyzed one twin and 35 singleton pregnancies. Twenty cases occurred before and 16 after 20 weeks. Latency period ranged from 0 to 137 days, with an average of 35 days. Amniotic fluid index was reduced in 27 cases and normal in 6 cases. Expectant management was adopted in 31 cases (86%), five patients declined and opted for termination (14%) at admission or during the course of pregnancy. Steroids were prescribed for 12 patients at or after 24 weeks (39%), leukocyte count at admission varied from 6,000 to 16,200/mm(3), with an average of 11,310, in only 9% it was greater than 15,000, immature forms were present in 10 cases (28%). Clinical chorioamnionitis occurred in 71%, being three times more frequent in parous women. Bacteriuria was present in 2 of 30 cases (6.6%). Two women developed laboratorial and clinical signs of sepsis, none of them needed hysterectomy. There were no maternal deaths. Mean gestational age at delivery was 24 weeks, ranging from 16 to 39 weeks. In the expectant group, preterm delivery rate was 68%. There was one case of abruption. Cesarean rate was 31%. Neonatal mortality was 42% (8 cases). Overall neonatal survival was 35% (11 in 32 newborns). Perinatal mortality is high in pregnancies complicated by previable rupture of membranes, however gestational age at occurrence is a strong predictor of outcome. An individualized approach is the best management option regarding maternal risks and fetal outcomes.
dc.description285
dc.description6
dc.description1529
dc.description1534
dc.languageen
dc.publisherSpringer Heidelberg
dc.publisherHeidelberg
dc.publisherAlemanha
dc.relationArchives Of Gynecology And Obstetrics
dc.relationArch. Gynecol. Obstet.
dc.rightsfechado
dc.rightshttp://www.springer.com/open+access/authors+rights?SGWID=0-176704-12-683201-0
dc.sourceWeb of Science
dc.subjectPreterm rupture of membranes
dc.subjectPreterm delivery
dc.subjectPreviable rupture of membranes
dc.subjectChorioamnionitis
dc.subjectPremature Rupture
dc.subjectExpectant Management
dc.subjectInfants Born
dc.subjectMortality
dc.subjectChorioamnionitis
dc.subjectMidtrimester
dc.subjectTrimester
dc.subjectSurvival
dc.subjectWomen
dc.titlePreviable preterm rupture of membranes: gestational and neonatal outcomes
dc.typeArtículos de revistas


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