Management strategy in pregnant women with preterm amniorrhea in preterm pregnancy
- Authors: Polozskaya Y.V.1, Shakurova E.Y.1, Popova T.V.1
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Affiliations:
- Republican Perinatal Center
- Issue: No 5 (2014)
- Pages: 32-36
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/247163
- ID: 247163
Cite item
Abstract
Objective. To study perinatal outcomes in patients whose pregnancy was complicated by premature rupture of membranes at 22-35 weeks’ gestation when applying medical expectant pregnancy management strategies. Subject and methods. Eighty-four case histories of deliveries at 22-37 weeks’ gestation, occurring in the Petrozavodsk Republican Perinatal Center in 2009-2012, which were complicated by preterm amniorrhea (PA) and a long dry interval, were analyzed. PA was diagnosed using the AmniSure tests. Results. The investigation has indicated that the medical wait-and-see strategy for PA promote accelerated fetal lung maturation, by increasing the incidence of severe forms of fetal respiratory distress syndrome and reducing the rate of disability in infants in this group. Conclusion. The use of antibiotics could prevent clinically significant infectious complications in the mother and decrease morbidity rates in the newborn infant. The application of current methods for childbirth preparation can reduce the rate of surgical delivery.
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About the authors
Yliya Vladimirovna Polozskaya
Republican Perinatal Center
Email: roddom@karelia.ru
Obstetrician-gynecologist Petrozavodsk, Republic of Karelia
Elena Yurevna Shakurova
Republican Perinatal Center
Email: roddom@karelia.ru
Candidate of Medical Science, Deputy Chief Physician for Medical part Petrozavodsk, Republic of Karelia
Tatyana Vasilyevna Popova
Republican Perinatal Center
Email: roddom@karelia.ru
Head of Obstetrical Department of Pregnancy Pathology Petrozavodsk, Republic of Karelia
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