A CASE STUDY ON 3 WEEKS PREMATURE RUPTURE OF MEMBRANES CAUSED BY OROPHARYNGEAL MICROBIOTA

Premature rupture of membrane (PROM) is produced when amniotic membranes tear before labor onset and recorded in around 8 % full-term gestations. Preterm PROMs (PPROMs) take place the 37th week gestation, with an incidence 2–4 pregnancies, it associated higher maternal perinatal morbidity mortality, mainly related to infectious processes prematurity. Among complications, which include postpartum infection, premature placental detachment, sepsis, we highlight clinical chorioamnionitis for its severity. Of decreasing frequency, complications respiratory distress, neonatal intraventricular hemorrhage, necrotizing enterocolitis, neurological lesions. Full-term PROM frequently has a physiological cause consequence uterine contractions; however, PPROM usually multifactorial etiology that often unknown, although most reported observed up 60 cases. Therefore, PPROM, probably infectious, remains unknown The obstetric approach varies as function gestational age, actively inducing pregnancy but performing overall evaluation maternal-fetal status PPROM. In latter situation, assessment made relative risks benefits wait-and-see attitude versus induction, considering signs infection and/or prematurity, ordering antibiotic treatment diagnosed . Multiple combinations antimicrobial drugs have been proposed better outcomes prophylactic administration some new combinations. This study describes case caused by urinary tract infection.