Sonographic myometrial thickness predicts the latency interval of women with preterm premature rupture of the membranes and oligohydramnios

2005 ◽  
Vol 193 (3) ◽  
pp. 762-770 ◽  
Author(s):  
Catalin S. Buhimschi ◽  
Irina A. Buhimschi ◽  
Errol R. Norwitz ◽  
Anna K. Sfakianaki ◽  
Benjamin Hamar ◽  
...  
Author(s):  
Wael S. Nossair

Background: Preterm premature rupture of membranes (PPROM) increases the risk of prematurity and leads to a number of other perinatal and neonatal complications. Prolonged latency interval increases probability of complications in mothers with PPROM. The aim of this study was to assess the relationship between the myometrial thickness and the length of latency interval after PPROM.Methods: This study included 62 pregnant women admitted due to spontaneous PPROM from 26 to 37 weeks gestational age. All selected cases were subjected to full medical history, full clinical examination, laboratory investigations, and ultrasound evaluation with measurement of myometrium thickness at lower uterine segment and uterine fundus, measurement of amniotic fluid index.Results: A total 32 (51.7%) of our patients had latency interval <1 week while the rest of patients had latency interval ≥1 week with mean latency interval value was 5.45±2.4 days. Sonographic evaluation of the myometrial thickness showed that the mean thickness at lower uterine segment was 6.6±1.26 mm and at fundus was 6.1±1.28 mm. we found that at cut off point ≥6.9 mm lower uterine segment myometrial thickness had 87.5% sensitivity and 93.3% specificity in prediction of latency interval≥1 week, while at cut off point≥6.4 mm uterine fundus myometrial thickness had 81.3% sensitivity and 63.3% specificity in prediction of latency interval more than 1 week.Conclusions: Sonographic evaluation of myometrial thickness appears to be helpful in prediction of latency interval in PPROM.


2004 ◽  
Vol 191 (6) ◽  
pp. S178
Author(s):  
Catalin Buhimschi ◽  
Irina Buhimschi ◽  
Errol Norwitz ◽  
Anna Sfakianaki ◽  
Joshua Copel ◽  
...  

2020 ◽  
Vol 42 (2) ◽  
pp. 163-168 ◽  
Author(s):  
Elad Mei-Dan ◽  
Zoe Hutchison ◽  
Mark Osmond ◽  
Susan Pakenham ◽  
Eugene Ng ◽  
...  

2011 ◽  
Vol 67 (2) ◽  
pp. 122-131 ◽  
Author(s):  
Victor A. Rosenberg ◽  
Irina A. Buhimschi ◽  
Antonette T. Dulay ◽  
Sonya S. Abdel-Razeq ◽  
Emily A. Oliver ◽  
...  

2019 ◽  
Vol 79 (08) ◽  
pp. 813-833 ◽  
Author(s):  
Richard Berger ◽  
Harald Abele ◽  
Franz Bahlmann ◽  
Ivonne Bedei ◽  
Klaus Doubek ◽  
...  

Abstract Aims This is an official guideline of the German Society for Gynecology and Obstetrics (DGGG), the Austrian Society for Gynecology and Obstetrics (ÖGGG) and the Swiss Society for Gynecology and Obstetrics (SGGG). The aim of this guideline is to improve the prediction, prevention and management of preterm birth based on evidence obtained from recently published scientific literature, the experience of the members of the guideline commission and the views of self-help groups. Methods The members of the participating medical societies and organizations developed Recommendations and Statements based on the international literature. The Recommendations and Statements were adopted following a formal consensus process (structured consensus conference with neutral moderation, voting done in writing using the Delphi method to achieve consensus). Recommendations Part 2 of this short version of the guideline presents Statements and Recommendations on the tertiary prevention of preterm birth and the management of preterm premature rupture of membranes.


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