After induction with oxytocin because of premature rupture of the membranes, a caesarean section had to be performed on a primigravid patient owing to fetal distress. At laparotomy a fundal rupture of the uterus was found. Rupture of the primigravid uterus in the absence of obstetric trauma or congenital abnormality is rare, and apparently only 4 cases have been reported. The condition does not...

PURPOSE to compare the expression of tumor necrosis factor-alpha (TNF-alpha) in ovular membranes with premature rupture (MPR) and with opportune rupture; to verify the association between the expression of the TNF-alpha in ovular membranes and the degree of chorioamnionitis, correlating the expression of the TNF-alpha and the membranes' time of rupture. METHODS ovular membranes from 31 partur...

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...

Premature rupture of foetal membranes (PROM) complicates 10 % of pregnancies and is the most important identifiable cause of pre-term delivery. The diagnosis of PROM is based on the detection of amniotic fluid in the vagina. This can be achieved by chemical, clinical or biochemical methods. An ideal test should be specific for amniotic fluid and should not be affected by gestational age or inte...

The definition of PROM is rupture of membranes before the onset of labor. Membrane rupture before labor and before 37 weeks of gestation is referred to as preterm PROM. Management is influenced by gestational age and the presence of complicating factors, such as clinical infection, abruptio placentae, labor, or nonreasurring fetal status. An accurate assessment of gestational age and knowledge ...

The definition of PROM is rupture of membranes before the onset of labor. Membrane rupture before labor and before 37 weeks of gestation is referred to as preterm PROM. Management is influenced by gestational age and the presence of complicating factors, such as clinical infection, abruptio placentae, labor, or nonreassuring fetal status. An accurate assessment of gestational age and knowledge ...

Premature Rupture of Membranes (PROM) is defined as rupture of membranes prior to onset of labor. It can occur at any gestational week. PROM greater than 24 hours is referred as prolonged PROM and carries risk of ascending infection (1). PROM occurs in 8%-10% of all term pregnancies and in 2%-4% of all preterm singleton pregnancies (1,2). The most important maternal risk is intrauterine infecti...

Splenic injuries are very rare in neonates. We report a case of splenic injury in a premature neonate, highlighting the importance of a high-index suspicion in early recognition of this rare but potentially fatal intra-abdominal injury. We also review the literature on possible aetiologies and mechanism of splenic injury, as well as its management. This is the first reported case of a very low-...

Recent studies in animals have suggested that antenatally administered steroids may accelerate fetal lung maturation and prevent the development of respiratory distress following premature delivery [7, 13, 16, 18, 21, 23]. Further studies in human pregnancies complicated by premature rupture of the amniotic membranes [l, 3, 4,19, 24], in trauterine growth retardation [6], or maternal heroin add...

Objective Midtrimester preterm prelabor rupture of membranes (PPROM) has a high rate of neonatal mortality and morbidity. The aim of this study was to study outcomes of subsequent pregnancies after a pregnancy with PPROM before 27 weeks' gestation. Study Design Retrospective study of subsequent pregnancies of women who suffered PPROM before 27 weeks' gestation from 1994 to 2009. The main outcom...