SavedAdd your journal

Journals / GORM:Gynecology Obstetrics & Reproductive Medicine / 2010 / Cilt: 16 - Sayı: 3

Özel üçüncü düzey bir referans hastanesinde otuzdördüncü gebelik haftasından önce ve sonra oluşan erken membran rüptürü olgularında gebelik sonuçları

Pregnancy outcome after preterm rupture of the membranes before or after 34 weeks' gestation in a private tertiary referral hospital

Aysel DERBENT
Serap SİMAVLI
İnegöl İlknur GÜMÜŞ
İltemur Candan DUMAN
Hasan KAFALI
M. Mansur TATLI
Öztürk Nilgün TURHAN
Pages
135–140
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

CONCLUSIONS: PPROM before 34 weeks had a longer latency, and led to more infectious morbidity and mortality in newborns.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:OBJECTIVE: To investigate the outcome of premature rupture of the membranes (PROM) before and after 34’weeks of gestation.
📊
Key Findings & Data:STUDY DESIGN: A retrospective study, including 85 women with PPROM and 249 women with PROM during the years 2007-2010, was conducted.
💡
Conclusion & Impact:CONCLUSIONS: PPROM before 34 weeks had a longer latency, and led to more infectious morbidity and mortality in newborns.
🔬Design:Research Article
📍Scope:2007-2010 Verileri
⚙️Variables:Domain Parameters

Abstract

OBJECTIVE: To investigate the outcome of premature rupture of the membranes (PROM) before and after 34&#8217;weeks of gestation. STUDY DESIGN: A retrospective study, including 85 women with PPROM and 249 women with PROM during the years 2007-2010, was conducted. Data were analyzed using the chi-squared test, the Mann- Whitney test, and Spearman&#8217;s correlation analysis. RESULTS: Whereas, twin pregnancy was linked to the occurrence of PROM before 34 week, GDM and/or polyhydramnios were seen in the etiology after 34 weeks&#8217; The latency period between PROM and delivery of the fetus was significantly longer before 34 weeks&#8217; gestation (p<0.001). Admission to the NICU and length of stay were found to be higher in the newborns from this group (p<0.001). They were also associated higher infectious neonatal problems, such as sepsis and pneumonia compared to 34- 37 weeks subgroup (p<0.001). CONCLUSIONS: PPROM before 34 weeks had a longer latency, and led to more infectious morbidity and mortality in newborns.

Özet

AMAÇ: Gebeliğin 34. haftasından önce ve sonra gelişen erken membran rüptürü olgularının sonuçlarının araştırılması. GEREÇ VE YÖNTEM: 2007-2010 yılları arasında 85 PPROM (preterm erken membran rüptürü) ve 249 PROM (erken membran rüptürü) olgusunu içeren retrospektif bir çalışma yapıldı. Veriler ki-kare, Mann-Whitney testi ve Spearman korelasyon analizi ile değerlendirildi. BULGULAR: 34 hafta öncesinde ikiz gebelik, sonrasında ise GDM ve/veya polihidramniyoz etyolojide sık görüldü. Memb - ranların yırtılması ile fetusun doğumu arasında geçen latent süre 34 haftadan küçük gebeliklerde daha uzundu (p<0.001). Bu grubun bebeklerinde yenidoğan yoğun bakım ihtiyacı ve orada kalış süresi daha fazla bulundu (p<0.001). Bu yenidoğanlarda, 34-37 hafta grubunun yenidoğanlarına oranla sepsis ve pnömoni gibi enfeksiyöz neonatal sorunlar sıktı (p<0.001). SONUÇ: 34 haftadan önceki PPROM, daha uzun bir latent süreye sahiptir ve yenidoğanda daha fazla enfeksiyöz morbidite ve mortaliteye yol açmaktadır.

🔖

Cite This Article

DERBENT, A., SİMAVLI, S., GÜMÜŞ, İ. İ., DUMAN, İ. C., KAFALI, H., TATLI, M. M., TURHAN, Ö. N. (2010). Özel üçüncü düzey bir referans hastanesinde otuzdördüncü gebelik haftasından önce ve sonra oluşan erken membran rüptürü olgularında gebelik sonuçları. GORM:Gynecology Obstetrics & Reproductive Medicine, Cilt: 16 - Sayı: 3, 135–140. https://ajindex.com/articles/227547

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Mercer BM. Premature Rupture of the Membranes. In:Creasy RK, Rednik R, Iams JD, Lockeood CJ, Moore TR, editors. Creasy&Resnik’s Maternal-Fetal Medicine. 6th ed. Philadelphia: Saunders Elsevier; 2009. P. 599-612
  2. Caughey AB, Robinson JN, Norwitz ER. Contemporary diagnosis and management of preterm premature rupture of membranes. Rev Obstet Gynecol 2008;1:11-22
  3. Cousens S, Blencowe H, Gravett M, Lawn JE. Antibiotics for pre-term pre-labour rupture of membranes: prevention of neonatal deaths due to complications of pre-term birth and infection. Int J Epidemiol. 2010;39:134-43
  4. Cande V. Ananth, Anthony M. Vintzileos. Epidemiology of preterm birth and its clinical subtypes. Journal of Maternal-Fetal and Neonatal Medicine 2006;19:773-82
  5. ACOG Practice Bulletin. Premature Rupture of Membranes. Obstet Gynecol 2007;109:1007-18
  6. Test G, Levy A, Wiznitzer A, Mazor M, Holcberg G, Zlotnik A, Sheiner E. Factors affecting the latency period in patients with preterm premature rupture of membranes. Arch Gynecol Obstet DOI 10.1007/s00404-010-1448-7, 2010 Mar 20
  7. Melamed N, Hadar E, Ben-Haroush A, Kaplan B, Yogev Y. Factors affecting the duration of the latency period in preterm premature rupture of membranes. J Matern Fetal Neonatal Med 2009;22(11):1051-6 8. Mercer BM, Crocker LG, Pierce WF, Sibai BM. Clinical characteristics and outcome of twin gestation complicated by preterm premature rupture of the membranes. Am J Obstet Gynecol. 1993;168:1467-73
  8. Cox SM, Leveno KJ.Intentional delivery versus expectant management with preterm ruptured membranes at 30-34 weeks' gestation. Obstet Gynecol. 1995;86:875-9
  9. Mercer BM, Crocker LG, Boe NM, Sibai BM. Induction versus expectant management in premature rupture of the membranes with mature amniotic fluid at 32 to 36 weeks: a randomized trial.Am J Obstet Gynecol 1993;169:775- 82
  10. Tanir HM, Sener T, Tekin N, Aksit A, Ardic N. Preterm premature rupture of membranes and neonatal outcome prior to 34 weeks of gestation. Int J Gynaecol Obstet. 2003;82:167-72
  11. Furman B, Shoham-Vardi I, Bashiri A, Erez O, Mazor M. Clinical significance and outcome of preterm prelabor rupture of membranes: population-based study. Eur J Obstet Gynecol Reprod Biol. 2000; 92:209-16.