Our experience in managing pregnancy complicated by early amniorrhea in preterm pregnancy


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Objective. To analyze perinatal outcomes in patients whose pregnancy is complicated by early amniorrhea in preterm pregnancy. Subject and methods. Sixty-four pregnant women with early amniorrhea at 22-34 weeks’ gestation, whose pregnancy had been prolonged by an average of 10.8±2.4 days during antibiotic and tocolytic therapy underwent clinical and laboratory examination at the Perinatal Center of the Saratov Region. Results. Pregnancy prolongation at 24-34 weeks’ gestation in the presence of early amniorrhea assists in reducing the rate and severity of respiratory disorders, the incidence and degree of intraventricular hemorrhage in premature infants, by decreasing the rate of disability in this group of infants. Conclusion. It is expedient to use expectant management tactics for preterm pregnancy complicated by early amniorrhea.

Full Text

Restricted Access

About the authors

Alexander Viktorovich Mikhailov

Perinatal Center, Saratov Region

Email: PCSO@yandex.ru
MD, Professor, Medical Director, Perinatal Centre

Larissa Ivanovna Dyatlova

Perinatal Center, Saratov Region

Email: PCSO@yandex.ru
PhD, head of department of pathologic pregnancy, Perinatal Centre

Irina Yevgenyevna Rogozhina

V.I. Razumovsky Saratov State Medical University, Ministry of Health of the Russian Federation

Email: PCSO@yandex.ru
MD, Docent, The Chair of the OBGYN department

Tatiana Nikolayevna Glukhova

V.I. Razumovsky Saratov State Medical University, Ministry of Health of the Russian Federation

Email: gluchova05@mail.ru
MD, Docent of the OBGYN department

Olga Sergeyevna Panina

V.I. Razumovsky Saratov State Medical University, Ministry of Health of the Russian Federation

Email: PCSO@yandex.ru
PhD, Docent of pediatrics and neonatology department

References

  1. Айламазян Э.К., Кулаков В.И., Радзинский В.Е., Савельева Г.М., ред. Акушерство. Национальное руководство. М.: ГЭОТАР-Медиа; 2007. 1200 с
  2. Аржанова О.Н., Кошелева Н.Г. Этиопатогенез невынашивания беременности. Журнал акушерства и женских болезней. 2004; 53(1): 37-41
  3. Сидельникова В.М. Невынашивание беременности - современный взгляд на проблему. Российский вестник акушера-гинеколога. 2007; 2: 62-4. /
  4. Максимович О.Н. Дородовое излитие околоплодных вод: причины, диагностика, ведение беременности и родов. Бюллетень ВСНЦ СО РАМН. 2006. 3: 207-212
  5. Козловская И.А. Особенности течения беременности у женщин с дородовым излитием околоплодных вод. В кн.: Материалы IV съезда акушеров-гинекологов России. Москва, 30 сентября - 2 октября 2008 г. М.; 2008: 225-6
  6. ACOG Committee on Practice Bulletins-Obstetrics. ACOG Practice Bulletin No. 80: premature rupture of membranes. Clinical management guidelines for obstetrician-gynecologists. Obstet. Gynecol. 2007; 109(4): 1007-19
  7. Wolfensberger A., Zimmermann R., von Mandach U. Neonatal mortality and morbidity after aggressive long-term tocolysis for preterm premature rupture of the membranes: a methodologic review. Fetal Diagn. Ther. 2006; 21(4): 366-73
  8. Cousins L.M., Smok D.P., Lovett S.M., Poeltler D.M. AmniSure placental alpha macroglobulin-1 rapid immunoassay versus standard diagnostic methods for detection of rupture of membranes. Am. J. Perinatol. 2005; 22(6): 317-20
  9. Ramsauer B., Vidaeff A.C., Hösli I., Park J.S., Strauss A., Khodjaeva Z. et al. The diagnosis of rupture of fetal membranes (ROM): a meta-analysis. J. Perinat. Med. 2013; 41(3): 233-40

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2014 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies