Premature amniorrhea in full-term pregnancy. Labor management principles


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Abstract

A study was conducted in parturients with premature amniorrhea. In Group 1 (n = 257), labor was induced with oxytocin and ensaprost after a 3-16-hour amniotic fluid-free interval. In Group 2 (n = 299), delivery developed spontaneously within 17 hours after rupture of the amniotic fluid sac. In this group, spontaneous labor occurred in 95% while in Group 1 this did in 22.2%. In Group 1 neonates, the frequency of early neonatal complications was twice higher (19% versus 9%). The optimum waiting time to the onset of active actions was 10 hours. Thus, expectant labor management in premature amniorrhea has advantages over active intervention.

About the authors

Galina Mikhaylovna Savel'eva

Email: gms@cfp.ru

E Ya Karaganova

Ya V Karabanovich

V M Grabovskiy

M V Tret'yakova

G M Savelyeva

Russian State Medical University, Russian Agency for Health Care

Russian State Medical University, Russian Agency for Health Care

Ye Ya Karaganova

Russian State Medical University, Russian Agency for Health Care

Russian State Medical University, Russian Agency for Health Care

Ya V Karabanovich

Center of Family Planning and Reproduction, Moscow Department of Health Care

Center of Family Planning and Reproduction, Moscow Department of Health Care

V M Grabovsky

Russian State Medical University, Russian Agency for Health Care

Russian State Medical University, Russian Agency for Health Care

M V Tretyakova

Russian State Medical University, Russian Agency for Health Care

Russian State Medical University, Russian Agency for Health Care

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