Neonatal outcome in pregnancies that presented premature rupture of membranes

Silveira, Marcela Lima; Caminha, Náira de Oliveira; Sousa, Rosiléa Alves de; Pessoa, Sarah Maria Fraxe; Gurgel, Eloah de Paula Pessoa; Cavalcante, Dylmara Maria Prudêncio

doi:10.15253/2175-6783.2014000300014

Cited by 8 publications

(11 citation statements)

References 14 publications

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“…These American authors also established a rate of 11.8% for previous PPROM; this rate was higher than the rate of 1.6% reported for the control population, thus yielding an OR=8.3. However, our rates are still higher than those indicated by a survey carried out in the Brazilian northeast (11), where 5.4% of pregnant women with PPROM had a history of PPROM, and 4.8% had previous prematurity. A classic study on the subject (39) previously indicated that previous premature birth was an important risk factor for PPROM, with OR=2.5.…”

Section: Discussioncontrasting

confidence: 83%

“…Considering occupation, almost half of the patients analyzed (44.1%) described themselves as housewives (or as domestic workers). This rate may appear high, but it is lower than the rates reported by other authors in Fortaleza-Ceará, in the Brazilian northeast (11), of 49.7%, or in Cuba (25), of 71.4%. The latter study found among the housewives a 1.5-fold higher relative risk of PROM after the 30 th week of pregnancy.…”

Section: Discussioncontrasting

confidence: 61%

“…Regarding marital status, most of the patients in the present study were in a consensual union (43.5%) or were single (28.4%), and slightly more than one-quarter of them were married. In comparison, in Acre (10), the rate of single women was very similar (28.7%), but in Fortaleza-Ceará, in the Brazilian northeast (11), the rate of single women was twice as high (66%).…”

Section: Discussionmentioning

confidence: 89%

“…An important characteristic of our work was the large number of patients with some comorbidity (69.2%), which gives it a very specific and unusual profile compared with other studies because most studies exclude patients with comorbidities (7,8,9,11,19). Because this was an epidemiological study, we considered it important to include such patients to obtain a better notion of the daily reality of our hospital, which may be similar to that of others.…”

Section: Discussionmentioning

confidence: 99%

“…We believe that this rate was high in our sample because of the tertiary profile of the Hospital das Clinicas, which is a reference center for malformations. In fact, the correlation between congenital abnormalities per se and PPROM has not been sufficiently investigated as a result of the exclusion of such abnormalities in almost all publications on PPROM (7,8,9,11,19,20).…”

Section: Discussionmentioning

confidence: 99%

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Epidemiological profile of patients with preterm premature rupture of membranes at a tertiary hospital in São Paulo, Brazil

Galletta

Bittar

Agra

et al. 2019

Clinics

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OBJECTIVE:To perform a descriptive analysis of preterm premature rupture of membranes (PPROM) cases attended in a tertiary hospital.METHOD:Retrospective analysis of medical records and laboratory tests of patients admitted to a Brazilian tertiary hospital between 2006 and 2011, with a confirmed diagnosis of PPROM and gestational age (GA) at delivery <37 weeks.RESULTS:A total of 299 pregnant women were included in the study. Nine patients evolved to abortion, and 290 pregnant women remained for the final analysis. There was initial diagnostic doubt in 17.6% of the cases. The oligohydramnios rate [amniotic fluid index (AFI) <5] was 27.9% on admission. Chorioamnionitis was initially diagnosed in 10.8% of the patients and was retrospectively confirmed in 22.9% of the samples. The latency period had a mean of 9.1 days. The main reasons for interruption were premature labor (55.2%), GA ≥36 weeks (27.2%), and fetal distress (6.9%). The delivery method was cesarean section in 55% of cases. The mean birth weight was 2,124 grams, and 67% of the neonates had a low birth weight (<2500 g). The GA at delivery averaged 33.5 weeks. The stillbirth rate was 5.3%, and the early neonatal mortality rate was 5.6%. There were complications at delivery in 18% of mothers.CONCLUSION:In one of the few Brazilian reports on the epidemiological profile of PPROM, with GA until 37 weeks and intercurrences generally excluded from assessments (such as twinning and fetal malformations), there is a favorable evolution, with an acceptable rate of complications.

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Section: Discussioncontrasting

confidence: 83%

Section: Discussioncontrasting

confidence: 61%

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Epidemiological profile of patients with preterm premature rupture of membranes at a tertiary hospital in São Paulo, Brazil

Galletta

Bittar

Agra

et al. 2019

Clinics

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Comparison of vitamin D levels between mothers and infants with and without prolonged membrane rupture

Boskabadi

Rakhshanizadeh

Zakerihamidi

2022

Russian Journal of Infection and Immunity

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Background: Premature rupture of membranes is one of the known causes of preterm labor and accounts for approximately one-third of cases. Vitamin D deficiency may play a role in preterm labor, as well.Objective: The present study aimed to compare vitamin D levels in mothers and infants with and without prolonged rupture of membranes (PROM).Materials Methods: This cross-sectional study was performed on 241 babies with and without a history of rupture of membranes in mothers, in the neonatal ward of Ghaem Hospital, Mashhad from 2019 to 2021 with available sampling method. After the confirmation of prolonged rupture of membranes (more than 18 hours before birth) based on history and examination with a speculum, we completed data collection tool, a checklist including laboratory evaluation and neonatal and maternal characteristics. The condition of the neonates with and without prolonged rupture of membranes was compared. Data were analyzed by T-test and Chi-square.Results: We examined a total of 241 neonates including 148 (61.4%) without prolonged rupture of the membranes in mothers and 93 (38.6%) with PROM. There was a statistically significant difference between the two groups, maternal vitamin D level (P = 0.001), neonatal vitamin D level (P = 0.001), and fifth minute Apgar score (P = 0.003). This means that the values of these variables were lower in the group of neonates with PROM.Conclusion: Vitamin D deficiency in mothers has been significantly associated with prolonged rupture of membranes and with increasing severity of vitamin deficiency, the probability of PROM increases and therefore rises the likelihood of preterm labor and its complications.

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Pregnancy outcome in preterm premature rupture of membranes between 24 to 34 weeks of gestation

Venkatraman

Chaturvedula

Parija

2020

Int J Reprod Contracept Obstet Gynecol

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Background: Preterm premature rupture of membranes (PPROM) is spontaneous rupture of the fetal membranes before 37 completed weeks and before onset of labour which complicates 3-5% of all pregnancies. Studies regarding PPROM in very early gestation are lacking. The primary objective was to assess the maternal and perinatal outcome in preterm premature rupture of membranes and secondary objective was to assess the colonization of group B Streptococci (GBS) and Listeria monocytogenes in patients with PPROM.Methods: This prospective study was performed on 175 antenatal women with PPROM between 24 to 34 weeks of gestation.Results: Majority of women (54.2%) were between 32 to 34 weeks of gestation, 37% were between 28 to 32 weeks of gestation and 7.8% were between 24 to 28 weeks of gestation. About 22 % of women had cervicovaginal infections. The prevalence of group B Streptococci in the study group was 1.2% and no isolates of Listeria. The most common maternal morbidity was puerperal fever (11.4 %). Among newborn babies 87 (55 %) required neonatal intensive care unit (NICU) admission mainly for respiratory distress and prematurity. With each week of increase in gestational age, there is decrease in latency period by 22 hours and duration of NICU stay nearly by one day.Conclusions: From the present study it may be concluded that PPROM is associated with genitourinary infection, puerperal pyrexia and respiratory distress syndrome among neonates. The prevalence of group B Streptococci in antenatal women with PPROM is very low and no Listeria were isolated.

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Neonatal outcome in pregnancies that presented premature rupture of membranes

Cited by 8 publications

References 14 publications

Epidemiological profile of patients with preterm premature rupture of membranes at a tertiary hospital in São Paulo, Brazil

Epidemiological profile of patients with preterm premature rupture of membranes at a tertiary hospital in São Paulo, Brazil

Comparison of vitamin D levels between mothers and infants with and without prolonged membrane rupture

Pregnancy outcome in preterm premature rupture of membranes between 24 to 34 weeks of gestation

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