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guide premature rupture of membranes

Kaitlyn Wald, Tom Easterling, Elizabeth M Swisher
BACKGROUND: Pregnancy after adulthood pelvic radiation is rare. There is a paucity of literature to guide preconception counseling and pregnancy management for these patients. CASE: A 36-year-old woman, gravida 2 para 1001, was referred at 28 weeks of gestation with spontaneous twins, preterm premature rupture of membranes, and a history of rectal cancer that had been treated 3 years previously with oophoropexy, chemoradiation, and abdominal perineal resection. Delivery was complicated by difficult fetal extraction and resulted in the demise of twin A...
October 2016: Obstetrics and Gynecology
Alemnesh H Mirkuzie, Mitike Molla Sisay, Mulu Muleta Bedane
BACKGROUND: The Public Health Centers (HCs) provide basic obstetric and neonatal care to about 80% of the eligible population in Addis Ababa. Hospitals provide comprehensive services and are referral centers for complications that cannot be managed at the HCs. This study assessed the proportion of obstetric referrals in general and referrals due to premature rupture of membranes (PROM) at term in particular, from the HCs in Addis Ababa and explored its appropriateness and management in hospitals...
2016: BMC Research Notes
Batool A Haider, Zulfiqar A Bhutta
BACKGROUND: Multiple-micronutrient (MMN) deficiencies often coexist among women of reproductive age in low- to middle-income countries. They are exacerbated in pregnancy due to the increased demands, leading to potentially adverse effects on the mother and developing fetus. Though supplementation with MMNs has been recommended earlier because of the evidence of impact on pregnancy outcomes, a consensus is yet to be reached regarding the replacement of iron and folic acid supplementation with MMNs...
November 1, 2015: Cochrane Database of Systematic Reviews
Ebony B Carter, Katherine C Bishop, Katherine R Goetzinger, Methodius G Tuuli, Alison G Cahill
OBJECTIVE: Women carrying twin pregnancies often receive similar counseling, regardless of chorionicity, with the notable exception of twin-twin transfusion syndrome (TTTS); however, little is known about whether the presence of 1 vs 2 placentas confers dissimilar maternal risks. We sought to determine differences in maternal and neonatal outcomes based on chorionicity. STUDY DESIGN: This was a retrospective cohort study of all twin pregnancies at our institution undergoing routine second-trimester ultrasound for anatomic survey from 1990 through 2010...
September 2015: American Journal of Obstetrics and Gynecology
Koert de Waal, Martin Kluckow
No abstract text is available yet for this article.
May 2015: Journal of Pediatrics
Juliana Gebb, Pe'er Dar, Mara Rosner, Mark I Evans
OBJECTIVE: Fetal interventions have clearly decreased mortality, but the neurological outcomes of survivors are of critical concern. Here we consolidated available data on long-term neurological outcomes after common fetal interventions to guide counseling, management, and future research. STUDY DESIGN: Published studies assessing long-term neurological outcomes after common fetal interventions from 1990 through 2014 were collected. We included all studies with a cohort of more than 5 patients and with follow-up of 1 year or longer...
April 2015: American Journal of Obstetrics and Gynecology
Gemma C Sharp, Sarah J Stock, Jane E Norman
BACKGROUND: Fetal assessment following preterm prelabour rupture of membranes (PPROM) may result in earlier delivery due to earlier detection of fetal compromise. However, early delivery may not always be in the fetal or maternal interest, and the effectiveness of different fetal assessment methods in improving neonatal and maternal outcomes is uncertain. OBJECTIVES: To study the effectiveness of fetal assessment methods for improving neonatal and maternal outcomes in PPROM...
2014: Cochrane Database of Systematic Reviews
Hinke de Lau, Chiara Rabotti, Herman P Oosterbaan, Massimo Mischi, Guid S Oei
BACKGROUND: Traditional methods used for prediction of preterm delivery are subjective and inaccurate. The Electrohysterogram (EHG) and in particular the estimation of the EHG conduction velocity, is a relatively new promising method for detecting imminent preterm delivery. To date the analysis of the conduction velocity has relied on visual inspection of the signals. As a next step towards the introduction of EHG analysis as a clinical tool, we propose an automated method for EHG conduction velocity estimation for both the speed and direction of single spike propagation...
2014: BMC Pregnancy and Childbirth
P Tajik, D P van der Ham, M H Zafarmand, M H P Hof, J Morris, M T M Franssen, C J M de Groot, J J Duvekot, M A Oudijk, C Willekes, K W M Bloemenkamp, M Porath, M Woiski, B M Akerboom, J M Sikkema, B Nij Bijvank, A L M Mulder, P M Bossuyt, B W J Mol
OBJECTIVE: To investigate whether vaginal Group B Streptococcus (GBS) colonisation or other baseline characteristics of women with preterm premature rupture of membranes (PPROM) can help in identifying subgroups of women who would benefit from immediate delivery. DESIGN: Secondary analysis of the PPROMEXIL trials. SETTING: Sixty hospitals in the Netherlands. POPULATION: Women with PPROM between 34 and 37 weeks of gestation...
September 2014: BJOG: An International Journal of Obstetrics and Gynaecology
Devender Roberts, Sarah Vause, William Martin, Pauline Green, Stephen Walkinshaw, Leanne Bricker, Caroline Beardsmore, Ben N J Shaw, Andrew McKay, Gaynor Skotny, Paula Williamson, Zarko Alfirevic
BACKGROUND: Fetal survival is severely compromised when the amniotic membrane ruptures between 16 and 24 weeks of pregnancy. Reduced amniotic fluid levels are associated with poor lung development, whereas adequate levels lead to better perinatal outcomes. Restoring amniotic fluid by means of ultrasound-guided amnioinfusion (AI) may be of benefit in improving perinatal and long-term outcomes in children of pregnancies with this condition. OBJECTIVE: The AI in preterm premature rupture of membranes (AMIPROM) pilot study was conducted to assess the feasibility of recruitment, the methods for conduct and the retention through to long-term follow-up of participants with very early rupture of amniotic membranes (between 16 and 24 weeks of pregnancy)...
April 2014: Health Technology Assessment: HTA
Sonia Hernández-Díaz, Caroline E Boeke, Anna Thornton Romans, Brett Young, Andrea V Margulis, Thomas F McElrath, Jeffrey L Ecker, Brian T Bateman
BACKGROUND: Our goal is to study the triggers of spontaneous preterm delivery using a case-crossover design. METHODS: In a pilot study, we enrolled 50 women with spontaneous preterm labour (PTL) and 50 with preterm premature rupture of membranes (PPROM) between 2011 and 2012. To assess non-transient risk factors, we also enrolled a control group of 158 pregnant women at their regular prenatal care visits matched to cases by gestational age and calendar time. The index time was defined as the onset of PTL/PPROM (for cases) or interview (for controls)...
March 2014: Paediatric and Perinatal Epidemiology
Nigel Pereira, Elise C Bardawil, Meghan A Patel, Ryan K Brannon, Michael L Podolsky, Paul Nyirjesy
OBJECTIVE: This study aimed to report the case of a patient who developed an iliopsoas abscess after a dilation and evacuation for a midtrimester fetal demise. MATERIALS AND METHODS: This is a case report of a 35-year-old woman who underwent a dilation and evacuation at 17 weeks' gestation because of a preterm premature rupture of membranes and fetal demise. Four days later, she presented with fevers, chills, malaise, and right lower back, hip, and thigh pain. Magnetic resonance imaging of the abdomen and pelvis revealed a 2...
April 2014: Journal of Lower Genital Tract Disease
Nilanchali Singh, Reva Tripathi, Shakun Tyagi, Atul Batra
Fetal bladder rupture is a rare complication occurring due to bladder outlet obstruction, mostly posterior urethral valves. A 26-year-old primigravida presented to us at 27 weeks gestation with an ultrasound report showing gross fetal ascitis and mild oligohydramnios. A repeat scan was performed which showed fetal bladder rupture and urinary ascitis. In conjunction with paediatric surgeon, we performed ultrasound-guided placement of double-ended pigtail catheter connecting the fetal peritoneal cavity with the amniotic cavity at 28 weeks gestation...
2013: BMJ Case Reports
P-E Bouet, J-L Chabernaud, F Duc, T Khouri, B Leboucher, D Riethmuller, P Descamps, L Sentilhes
Unexpected out-of-hospital delivery accounts for 0.5% of the total number of delivery in France. The parturient is placed under constant multiparametric monitoring. Fetus heart rate is monitored thanks to fetal doppler. A high concentration mask containing a 50-to-50 percent mix of O(2) and NO performs analgesia. Assistance of mobile pediatric service can be required under certain circumstances such as premature birth, gemellary pregnancy, maternal illness or fetal heart rate impairment. Maternal efforts should start only when head reaches the pelvic floor, only if the rupture of the membranes is done and the dilation is completed...
March 2014: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Piotr Wegrzyn, Dariusz Borowski, Elzbieta Nowacka, Dorota Bomba-Opoń, Katarzyna Kosińska-Kaczyńska, Bozena Kociszewska-Najman, Mirosław Wielgoś
Twin Reversed Arterial Perfusion (TRAP) sequence complicates about 1% of all monochorionic twin pregnancies and about 1 to 35000 of all pregnancies. It involves an acardiac twin whose structural defects are incompatible with life, and an otherwise normal "pump" co-twin. As the blood flow in the acardiac twin is reversed, it keeps on growing owing to the oxygenated blood from the co-twin. Here we report a case of monochorionic, diamniotic twin pregnancy after ICS/-ET complicated with TRAP sequence, diagnosed at 11 weeks of pregnancy The unusual finding in this case was the residual heart in the so called acardiac twin...
November 2012: Ginekologia Polska
Batool A Haider, Zulfiqar A Bhutta
BACKGROUND: Multiple-micronutrient deficiencies often coexist in low- to middle-income countries. They are exacerbated in pregnancy due to the increased demands, leading to potentially adverse effects on the mother. Substantive evidence regarding the effectiveness of multiple-micronutrient supplements (MMS) during pregnancy is not available. OBJECTIVES: To evaluate the benefits to both mother and infant of multiple-micronutrient supplements in pregnancy and to assess the risk of adverse events as a result of supplementation...
2012: Cochrane Database of Systematic Reviews
Joseph Magley, Dena Towner, Véronique Taché, Michelle L Apperson
BACKGROUND: Anti-N-methyl-D-aspartate (NMDA) receptor encephalitis is an autoimmune disorder resulting in neurologic and psychiatric symptoms. Treatment is challenging in pregnancy, because little data exist to guide management. CASE: A 24-year-old woman with a known diagnosis of anti-NMDA receptor encephalitis using intravenous immunoglobulin therapy became pregnant. Her pregnancy was uncomplicated with no relapses. She delivered at 35 4/7 weeks of gestation after having preterm premature rupture of membranes...
August 2012: Obstetrics and Gynecology
David P van der Ham, Sylvia M C Vijgen, Jan G Nijhuis, Johannes J van Beek, Brent C Opmeer, Antonius L M Mulder, Rob Moonen, Mariët Groenewout, Mariëlle G van Pampus, Gerald D Mantel, Kitty W M Bloemenkamp, Wim J van Wijngaarden, Marko Sikkema, Monique C Haak, Paula J M Pernet, Martina Porath, Jan F M Molkenboer, Simone Kuppens, Anneke Kwee, Michael E Kars, Mallory Woiski, Martin J N Weinans, Hajo I J Wildschut, Bettina M C Akerboom, Ben W J Mol, Christine Willekes
BACKGROUND: At present, there is insufficient evidence to guide appropriate management of women with preterm prelabor rupture of membranes (PPROM) near term. METHODS AND FINDINGS: We conducted an open-label randomized controlled trial in 60 hospitals in The Netherlands, which included non-laboring women with >24 h of PPROM between 34(+0) and 37(+0) wk of gestation. Participants were randomly allocated in a 1:1 ratio to induction of labor (IoL) or expectant management (EM) using block randomization...
2012: PLoS Medicine
Carla E Ransom, Amy P Murtha
Preterm birth—delivery before 37 weeks of gestation—is the second leading cause of infant mortality in the United States after congenital malformations. Spontaneous preterm birth, due to either preterm labor or preterm premature membrane rupture, encompasses approximately 75% of all preterm births, almost 400,000 births per year. Since the 1960s, different formulations of progesterone have been investigated for preterm birth prevention. This article addresses the use of progesterone for the prevention of preterm birth, including selection of candidates for progesterone, pharmacokinetics, dosing, and formulations...
March 2012: Obstetrics and Gynecology Clinics of North America
Marian Knight, Cynthia Berg, Peter Brocklehurst, Michael Kramer, Gwyneth Lewis, Jeremy Oats, Christine L Roberts, Catherine Spong, Elizabeth Sullivan, Jos van Roosmalen, Joost Zwart
BACKGROUND: Amniotic fluid embolism (AFE) is a rare but severe complication of pregnancy. A recent systematic review highlighted apparent differences in the incidence, with studies estimating the incidence of AFE to be more than three times higher in North America than Europe. The aim of this study was to examine population-based regional or national data from five high-resource countries in order to investigate incidence, risk factors and outcomes of AFE and to investigate whether any variation identified could be ascribed to methodological differences between the studies...
2012: BMC Pregnancy and Childbirth
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