Premature rupture of the fetal membranes during premature pregnancy. Management: reality and prospects

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Management of premature rupture of membranes.

The management of patients with PROM, regardless of gestational age, remains controversial. Generally, when patients are in labor, have infection, or there is irreversible fetal distress, there are few options other than delivery. For those not in labor, especially in premature gestational ages, the complexities of the many combinations of decisions to be made regarding the best methods for eva...

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Premature rupture of membranes.

The management of patients with premature rupture of membranes has changed markedly in the past several years. The basis for this is a combination of a better understanding of newborn physiology, improved neonatal care, refinements in antibiotic therapy, and the widespread use of maternal and fetal monitoring. The best outcome for both mother and infant undoubtedly reflects data based on a comb...

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Premature rupture of the membranes

Premature rupture of the membranes (= amniorrhea) occurs in 1% to 2% of all pregnancies and 30% of preterm births (earlier than 37 weeks) are due to the rupture of membranes.The rupture occurs if an imbalance between the resilience of the amnion and the pressure administrated develops; this can have different reasons. An intact amnion with sufficient amniotic fluid is not only essential for the...

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Effects of Progesterone on Latency Period in Patients with Preterm Premature Rupture of Membranes during 24-34 Weeks of Pregnancy

Background & Aims: Preterm premature rupture of membranes (PPROM) is the leading cause of preterm birth and perinatal mortality and morbidity, and complications. The objective of the present study was to assess the effect of progesterone agents (rectal suppositories and weekly injection of 17- hydroxyprogesterone caproate) on latency period in women with PPROM. Methods: This randomized, double-...

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Management of preterm premature rupture of the membranes.

In many cases, the management of preterm PROM will be dictated by the presence of advanced labor, intrauterine infection, placental abruption, or nonreassuring fetal testing. These patients should be delivered expeditiously, with group B streptococcus prophylaxis given where possible, and cesarean delivery reserved for routine obstetric indications. The stable patient with PPROM and documented ...

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ژورنال

عنوان ژورنال: V.F.Snegirev Archives of Obstetrics and Gynecology

سال: 2021

ISSN: 2313-8726

DOI: 10.17816/2313-8726-2021-8-2-93-100