Survey of pregnancy outcome in preterm premature rupture of membranes with amniotic fluid index <5 and ≥5

Tavassoli, F. and Ghasemi, M. and Mohamadzade, A. and Sharifian, J. (2010) Survey of pregnancy outcome in preterm premature rupture of membranes with amniotic fluid index <5 and ≥5. Oman Medical Journal, 25 (2). pp. 118-123.

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Abstract

Objectives: Preterm premature rupture of membranes (PPROM) is among the most important causes of perinatal morbidity and mortality. The aim of this study is to survey the pregnancy outcomes in preterm premature rupture of membranes with an amniotic fluid index of <5 and >5. Methods: This prospective cohort study was performed on 137 pregnant women complicated by preterm premature rupture of membranes (PPROM) with a gestational age of 28-34 weeks during October 2006 to October 2008. The patients were divided in two groups according to their amniotic fluid index; AFI<5 (77cases), AFI≥5 (60cases). The Chi-squared test for qualitative variables and T-student test for quantitative variables were used to analyze the results. Results: The results showed that there was no significant difference in terms of the number of pregnancies, gestational age at rupture of membranes and birthweight between the two groups. However, the results demonstrated that the patients with AFI<5 exhibited a significantly shorter latency period (p=0.049), a higher rate of cesarean due to fetal distress (p=0.008), a lower neonatal Apgar score in the first minute (p=0.0127) and a higher rate of neonatal death during the first week (p=0.045). Conclusion: Overall, PPROM with oligohydroamnios is associated with shorter latency, higher rate of C/S, higher rate of early neonatal death and lower neonatal Apgar. © 2010, Oman Medical Specialty Board. All rights reserved.

Item Type: Article
Additional Information: Cited By :10 Export Date: 16 February 2020 Correspondence Address: Ghasemi, M.; Department of Obstetrics and Gynecology, Women’s Health Research Center, Imam Reza Hospital, Mashhad University of Medical SciencesIran; email: ghasemim841@yahoo.com
Uncontrolled Keywords: ampicillin betamethasone erythromycin adult amnion fluid antibiotic prophylaxis Apgar score Article birth weight cesarean section chorioamnionitis coagulase negative Staphylococcus cohort analysis controlled study echography Enterobacter aerogenes Escherichia coli female fetus heart rate fever gestational age hospitalization human intrauterine growth retardation Klebsiella major clinical study neonatal respiratory distress syndrome newborn newborn death newborn sepsis pregnancy outcome pregnant woman premature fetus membrane rupture prospective study Streptococcus tachycardia
Subjects: WQ Obstetrics
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib7 lib7
Date Deposited: 03 May 2020 07:01
Last Modified: 03 May 2020 07:01
URI: http://eprints.mums.ac.ir/id/eprint/17136

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