MATERNAL AND NEONATAL OUTCOME ASSOCIATED WITH PROLONGED PREMATURE RUPTURE OF MEMBRANES BELOW 26 WEEKS GESTATION

被引：36

作者：

RIB, DM ^{[1
]}

SHERER, DM ^{[1
]}

WOODS, JR ^{[1
]}

机构：

[1] UNIV ROCHESTER,STRONG MEM HOSP,SCH MED & DENT,DEPT OBSTET & GYNECOL,DIV MATERNAL FETAL MED,ROCHESTER,NY 14642

来源：

AMERICAN JOURNAL OF PERINATOLOGY | 1993年 / 10卷 / 05期

关键词：

D O I：

10.1055/s-2007-994764

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

The outcomes of 41 patients with prolonged, premature rupture of membranes in the midtrimester (19.5 to 26 weeks) managed conservatively were retrospectively analyzed. The maternal obstetric history was notable for a high incidence of second trimester bleeding and a prior history of preterm delivery. The mean duration of ruptured membranes before delivery was 10.6 days and was unrelated to gestational age. Delivery occurred within 2 weeks in 75% of the cases. The major indication for delivery was chorioamnionitis in 71% of patients. The only major maternal morbidity was chorioamnionitis. The overall perinatal survival was 47%, but in infants exceeding 24 weeks' gestation or 500 gm weight, the survival increased to 75%. No significant limb abnormalities, facial anomalies, growth retardation, or pulmonary hypoplasia occurred in the study population. Long-term follow-up demonstrated that 28% of infants exhibited major neurologic or developmental deficits.

引用

页码：369 / 373

页数：5

共 14 条

[1]

Taylor D., Garite I.J., Premature rupture of membranes before fetal viability, Obstet Gynecol, 64, pp. 615-620, (1984)

[2]

Beydoun S.N., V'asin S.V., Premature rupture of the membranes before 28 weeks: Conservative management, Am I Obstet Gynecol, 155, pp. 471-479, (1986)

[3]

Moretti M., Sibai B.M., Maternal and perinatal outcome ofexpectant management of premature rupture of membranes in the midtrimester, Ain J Obstet Gynecol, 159, pp. 390-396, (1988)

[4]

Bengtson J.M., VanMarter L.J., Barss V.A., Greene M.F., Tuomala R.E., Epstein M.F., Pregnancy outcome after premature rupture of the membranes at or before 26 weeks gestation, Obstet Gynecol, 73, pp. 921-926, (1989)

[5]

Major C.A., Kitzmiller D.L., Perinatal survival with expectantmanagement of midtrimcsicr rupture of membranes, Am I Obstet Gynecol, 163, pp. 838-844, (1990)

[6]

Thomas I.T., Smith D.W., Oligohydramnios, cause of the nonrenal features of Potter's syndrome, including pulmonary hypoplasia, J Pediatr, 84, pp. 811-814, (1974)

[7]

Naeye R.I., Factors that predispose to premature rupture ofthe fetal membranes, Obstet Gynecol, 60, pp. 93-98, (1982)

[8]

Bhuiani V.K., Abbasi S., Weiner S., Neonatal pulmonary manifestations due to prolonged amniotic leak, Ain J Pcrinat, 3, pp. 225-330, (1986)

[9]

Perlman M., Williams J., Hirsch M., Neonatal pulmonaryhypoplasia after prolonged leakage of amniotic Huid, Arch Dis Child, 51, pp. 349-353, (1976)

[10]

I liegner D.R., Fortune D.W., Eggers T.R., Premature rupture ofthe membranes, oligohydramnios and pulmonary hypoplasia, Aust NZJ Obstet Gynaec, 21, pp. 77-81, (1981)

← 1 2 →