The role of continuous fetal monitoring in the management of preterm premature rupture of membranes

2008 ◽  
Vol 21 (5) ◽  
pp. 301-304 ◽  
Author(s):  
Janae M. Davis ◽  
Michael A. Krew ◽  
Prabhcharan Gill ◽  
Karl M. Nelson ◽  
Michael P. Hopkins
Keyword(s):  
Fetal Monitoring ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Preterm Premature Rupture

THE ROLE OF uPAR,ST2,IL-33,IL-6 FOR THE DIAGNOSIS OF PRETERM PREMATURE RUPTURE OF MEMBRANES

2013 ◽  
Vol 10 (4) ◽  
pp. 231-235
Author(s):  
Yasemin Cekmez ◽  
Doga Ocal ◽  
Enis Ozkaya ◽  
Tuncay Kucukozkan ◽  
Ferhat Cekmez
Keyword(s):  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Preterm Premature Rupture

Role of the vaginal microbiota in preterm premature rupture of membranes

2020 ◽  
Vol 1_2020 ◽  
pp. 20-25
Author(s):  
Guseinova G.E. Guseinova ◽  
Khodzhaeva Z.S. Khodzhaeva ◽  
Muravyeva V.V. Muravyeva ◽  
Keyword(s):  
Vaginal Microbiota ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Preterm Premature Rupture

“EVALUATION OF THE PREDICTIVE ROLE OF C REACTIVE PROTEIN IN MATERNAL OUTCOME OF PRETERM PREMATURE RUPTURE OF MEMBRANES (PPROM)”

2021 ◽  
pp. 70-72
Author(s):  
R.K. Talukdar ◽  
Nanthini Devi ◽  
Tanma Saikia Das
Keyword(s):  
Wound Infection ◽  
Maternal Outcome ◽  
C Reactive Protein ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Maternal Complications ◽  
Reactive Protein ◽  
Preterm Premature Rupture ◽  
Group I

AIMS AND OBJECTIVE: To evaluate the role of maternal C-reactive protein(CRP) as a predictor of maternal outcomes- chorioamnionitis, Puerperal pyrexia, wound infection, PPH, URTI and UTI in preterm premature rupture of membranes(PPROM). An institutional based prospective case control study was METHODS: conducted in Gauhati Medical College and Hospital from 1st July 2019 to 31st June 2020.This study was conducted on total 280 antenatal women, 140 cases of PPROM (Group I) and 140 cases of normal term pregnancy (Group II) were used as a control. Cases were selected by sampling who fullled the inclusion and exclusion criteria. The data collected in the study was analysed statistically using descriptive statistics and analysis was carried out by Fischer's exact test. Results were tabulated and analysed statistically using SPSS version 21.0. RESULTS: A total of 280 mothers participated in this study which yields 100% response rate. Among the study groups more complications were observed in Cases group (Group I). The most common maternal complications were found to be puerperal pyrexia (6.40%) followed by wound infection (5.00%) in cases group where as in control groups puerperal pyrexia was seen in 3.60% of mothers and wound infection in 2.10% mothers of control group (Group II). Chorioamnionitis was seen only in cases group (Group I) among 4 patients (2.9%) and all of these had CRP>20mg/L. There was no maternal mortality recorded. CRP has sensitivity 100% (95% CI, 85.18% to 100.00%) and specicity 65.81% (95% CI, 56.47% to 74.33%) and PPV 36.51% (95% CI, 30.90% to 42.51%) and NPV 100%. Thus we can utilize CRP as a predictive tool for maternal complications in PPROM mothers. CONCLUSIONS AND RECOMMENDATION: Antenatal diagnosis of preterm PROM by identifying risk factors is an important tool in the management of PPROM. CRP is early and reliable indicator of maternal complications with high sensitivity and high negative predictive value. Maternal serum CRP at admission is the most accurate infectious marker for predicting the maternal outcome that is currently in routine use. It may serve as a noninvasive screening tool to distinguish between women with PPROM who are at high or at low risk for adverse maternal outcome.`

Outcomes in oligohydramnios: the role of etiology in predicting pulmonary morbidity/mortality

2018 ◽  
Vol 46 (8) ◽  
pp. 948-950 ◽  
Author(s):  
Ashley Hesson ◽  
Elizabeth Langen
Keyword(s):  
Pregnancy Termination ◽  
Respiratory Morbidity ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Renal Anomalies ◽  
Mortality And Morbidity ◽  
Respiratory Mortality ◽  
Live Births ◽  
Preterm Premature Rupture

Abstract Objective Early-onset oligohydramnios is typically secondary to renal-urinary anomalies (RUA) or preterm premature rupture of membranes (PPROM). We compared neonatal pulmonary outcomes between these etiologies. Methods We conducted a retrospective cohort study of women with oligohydramnios identified before 24 completed weeks of gestation attributed to either PPROM or RUA. Patients were excluded if other fetal anomalies were noted. Respiratory morbidity was assessed by the need for oxygen at 36 corrected weeks or at hospital discharge. Results Of 116 eligible patients, 54 chose elective pregnancy termination. A total of 39.5% of PPROM (n=17/43) and 36.8% of RUA (n=7/19) pregnancies experienced pre-viable loss (P=1.00). Significantly fewer PPROM live births resulted in neonatal mortality (26.9% vs. 75.0%, P<0.01). There was no difference in respiratory morbidity (57.9% vs. 66.6%, P=1.00). The collective incidence of respiratory mortality and morbidity was not different between etiologies (P=0.06). Conclusion This analysis suggests that the prognoses for oligohydramnios due to pre-viable PPROM vs. renal anomalies are similarly grave, though RUA infants experienced a higher rate of neonatal respiratory mortality.

scholarly journals The Role of Tumor Necrosis Factor  (TNF ) and Matrix Metalloproteinase9 (MMP9) Serum in Preterm Premature Rupture of Membranes

2017 ◽  
pp. 199
Author(s):  
Ardiles Ardiles ◽  
Desmiwarti Desmiwarti ◽  
Hafni Bachtiar
Keyword(s):  
Serum Levels ◽  
Cross Sectional Study ◽  
P Value ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Cross Sectional ◽  
Preterm Premature Rupture ◽  
The Mean ◽  
Necrosis Factor

Objective: To investigate the role of TNF- and MMP-9 serum in preterm premature rupture of membranes (PPROM). Methods: We used cross-sectional study design. Subjects were all pregnant women with and without PPROM who underwent checkup at Obstetrics and Gynecology Functional Medical Staff General Hospital Dr. M. Djamil and networking hospital. Results: A total of 48 subjects were enrolled in this study. The mean serum levels of TNF- in patients with PPROM 17.43 ng/ml  12.4 ng/ml and without PPROM 8.45 ng/ml  6.86 ng/ml. The mean serum levels of MMP-9 in patients with PPROM 8.77 ng/ml  4.41 ng/ml, and without PPROM 4.46 ng/ml  3.04 ng/ml. Statistical test result p value <0.05, it can be conclude there are differences in the levels of TNF- and MMP-9 serum in premature rupture of membranes and without premature rupture of membranes pregnancy of preterm. Conclusion: There are differences in the levels of TNF- and MMP-9 serum in PPROM and without PPROM.Keywords: MMP-9, premature rupture of membranes, TNF-

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