Correlation of residual amniotic fluid and perinatal outcomes in periviable preterm premature rupture of membranes

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC
Claudine Storness-BlissStephanie L Cooper

Abstract

To correlate maternal and fetal outcomes of pregnancies affected by preterm premature rupture of membranes (PPROM) at < 24 weeks' gestational age with the amount of residual amniotic fluid as determined by sonographic evaluation. We searched the local maternal-fetal medicine database for the records of all women with PPROM prior to 24 completed weeks of pregnancy. The quantity of residual amniotic fluid determined by ultrasound was recorded and women were separated into two groups: (A) deepest vertical pocket (DVP) ≥ 1 cm, or (B) DVP < 1 cm (severe oligohydramnios). Hospital chart review was undertaken to determine latency to delivery, perinatal death, and maternal complications. Data were analyzed using Fisher exact and Wilcoxon-Mann-Whitney U tests. We identified 31 subjects, of whom nine elected termination of pregnancy (6 in group A, 3 in group B). Six of 10 subjects in group A had a live delivery without neonatal death, whereas only one of 12 subjects in group B had a live delivery (P = 0.020). Additional complications included placental abruption in 63% in group A and 45% in group B, chorioamnionitis in 50% and 70%, respectively, and postpartum endometritis in 0% and 9%, respectively. None of these differences were statis...Continue Reading

Citations

May 1, 2013·Australasian Journal of Ultrasound in Medicine·Elizabeth A Dubil, Everett F Magann
Apr 11, 2013·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Barbara AcaiaLuigi Fedele
Oct 26, 2016·Journal of Perinatal Medicine·Winnie Huiyan SimPenelope Marie Sheehan
Jul 3, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Winnie Huiyan SimPenelope Sheehan
Feb 25, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Emre BaserOzlem Moraloglu Tekin
Aug 8, 2014·Obstetrical & Gynecological Survey·Kavita S Arora, Emily S Miller
Oct 28, 2019·The Journal of Obstetrics and Gynaecology Research·Takeshi OnoMasatoshi Yokoyama
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Oct 10, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Juliana Silva EstevesSaint Clair Gomes Junior
Aug 25, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Noor E SimonsEva Pajkrt

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