'Perinatal outcome in preterm premature rupture of membranes with Amniotic fluid index &lt; 5 (AFI &lt; 5)

Borna, Sedigheh; Borna, Hajieh; Khazardoost, Soghra; Hantoushzadeh, Sedigheh

doi:10.1186/1471-2393-4-15

Cited by 32 publications

(44 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our data indicated that oligohydramnios was associated with an earlier gestational age at PPROM. This finding is in disagreement with data published by most of the authors [1,[8][9][10]12] and we believe that this association is the result of gestational age itself rather than a smaller single deepest vertical pocket.…”

Section: Discussioncontrasting

confidence: 57%

“…This finding is consistent with studies of Borna et al [9], Kurdoglu et al [8] and Kacerovsky et al [10] and in contrast to results published by Mercer et al [6], Vermillion et al [3] and Piazze et al [12]. Interestingly, a study by Abbasalidadeh et al [11] showed a longer latent phase with SDP <2cm when compared to cases with a normal SDP.…”

Section: Discussioncontrasting

confidence: 52%

“…Our study failed to demonstrate the association of SDP <2cm with the development of chorioamnionitis as described in most of the studies such as Ekin et al [1], Vintzileos et al [7], Vermillion et al [3], Borna et al [9], Kurdoglu et al [8] and Park et al [13] Evidence indicates that one of the functions of the amniotic fluid is to protect the amniotic cavity against microbial invasion due to its antimicrobial property. Once the membranes have ruptured, the cavity is vulnerable to ascending infection.…”

Section: Discussioncontrasting

confidence: 49%

“…The majority of studies in the current literature use AFI to determine the perinatal outcomes of oligohydramnios secondary to PPROM [1][2][3][4][5][6][7][8][9][10][11][12][13]. Only two studies [6,7] were identified that assessed perinatal outcomes after PPROM using the SDP and both of these studies were noted to have conflicting results.…”

Section: Introductionmentioning

confidence: 99%

“…Low residual amniotic fluid after PPROM has been associated with complications such as short latency period, chorioamnionitis, neonatal sepsis, respiratory distress syndrome, low Apgar scores, cesarean deliveries, and neonatal death [1][2][3][4][5][6][7][8][9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Untitled

2017

OGIJ

View full text Add to dashboard Cite

Objective: To evaluate maternal and perinatal outcomes in cases with oligohydramnios after preterm premature rupture of membranes (PPROM) using single deepest pocket (SDP) at the time of diagnosis Methods: We performed a retrospective cohort study of perinatal outcomes based on SDP measurement at the time of PPROM during the study period 2011 to 2015 at a single institution. The SDP was determined by reviewing archived ultrasound images and reports at the time PPROM was diagnosed. Patients were subsequently divided into two groups, SDP <2cm (n=24) and SDP ≥ 2cm (n=54). Maternal and perinatal outcomes were subsequently compared according to single deepest vertical pocket. The Student's t-test and Chi-squared test were used to compare variables. All p values were expressed as exact values against the null hypothesis. Results:We identified 78 patients with PPROM between 24 and 34 weeks of pregnancy. A SDP <2cm in the setting of PPROM was associated with earlier gestational age at time of membrane rupture, earlier delivery, increased respiratory distress syndrome (RDS), lower Apgar score at one minute, and decreased birth weight. We believe that this association is the result of gestational age itself rather than a smaller single deepest vertical pocket. Conclusion:The presence of a SDP <2cm in the setting of PPROM is not associated with adverse maternal and perinatal outcomes. SDP was not shown to be a good predictive marker of composite perinatal morbidity. Larger prospective studies, however, should be performed to allow for a multivariate analysis.

show abstract

Section: Discussioncontrasting

confidence: 57%

Section: Discussioncontrasting

confidence: 52%

Section: Discussioncontrasting

confidence: 49%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Untitled

2017

OGIJ

View full text Add to dashboard Cite

show abstract

Does residual amniotic fluid after preterm premature rupture of membranes have an effect on perinatal outcomes? 12 years experience of a tertiary care center

Kurdoğlu

Kolusarı

Adalı

et al. 2009

Arch Gynecol Obstet

View full text Add to dashboard Cite

show abstract

Comparison between maternal and neonatal outcome of PPROM in the cases of amniotic fluid index (AFI) of more and less than 5 cm

Mousavi

Hashemi

Kashanian

et al. 2018

Journal of Obstetrics and Gynaecology

View full text Add to dashboard Cite

The study was performed on pregnant women with a gestational age of 26-32 weeks of pregnancy, who had been admitted to the hospital with a confirmed diagnosis of premature rupture of membranes. In all eligible women, ultrasounds were performed for the evaluation of amniotic fluid index. Then, the women were divided into two groups according to amniotic fluid index of ≥5 cm and <5 cm. These women were followed and monitored up to delivery. The women of the two groups did not have significant difference between them according to age, gestational age at the time of ruptured membrane, body mass index, gravidity, parity, gestational age at delivery and route of delivery. Maternal morbidities including chorioamnionitis, placental abruption, uterine atony after delivery and retention of placenta did not show significant difference between the two groups. There was no significant difference between the two groups' amniotic fluid index <5 cm and amniotic fluid index ≥5 cm, regarding neonatal morbidities, except for neonatal sepsis and neonatal death, which were higher in the amniotic fluid index <5 cm group [7(14.6%) versus 1(2.3%), p = .039, RR = 7.7 (95%CI 0.04-0.06) and 11(30.9%) versus 2(4.7%), p = .013, RR = 6.095 (95%CI = 1.26-29.31)]. In the subgroups of two categories of gestational ages of 26-29 and 30-34, neonatal morbidities were higher in the amniotic fluid index <5 cm group. The results suggest that amniotic fluid index <5 cm should be considered as a warning sign for predicting poor prognosis of pregnancy complicated by preterm premature rupture of membranes. Impact statement What is already known on this subject? In a retrospective study in 1993, the relationship between oligohydramnios (which was defined as the largest single packet of fluid less than 2 × 2 cm) at the time of hospital admission, and the outcome of mother, foetus and neonates in a gestational age of less than 35 weeks of pregnancy was evaluated. In the oligohydramnios group, chorioamnionitis and funistis were more common. Also, the mean gestational age at the time of delivery and neonatal weight was less than that of the normal amniotic fluid group. According to these results, it was concluded that a low amniotic fluid volume in the women with preterm premature rupture of membranes (PPROM) can be considered as a prognostic factor in the cases of conservative management of PPROM. In contrast, the other study, which was performed on a larger sample size (290 patients), could not show more cases of amnionitis in the cases of amniotic fluid index (AFI) of less than 5 cm; however, the latency period was shorter in comparison with AFI of more than 5 cm. What do the results of this study add? Chorioamnionitis, placental abruption and uterine atony after delivery, retention of placenta and route of delivery did not show a significant difference between the two groups. Respiratory distress syndrome (RDS), need of surfactant and intubation, intra ventricular haemorrhage (IVH) and duration of neonatal intensive care unit (NICU) admission did not show ...

show abstract

'Perinatal outcome in preterm premature rupture of membranes with Amniotic fluid index < 5 (AFI < 5)

Abstract: Background: Our purpose was to determine whether AFI<5 cm after preterm premature rupture of the membranes (PPROM) is associated with an increased risk of perinatal morbidity.

Cited by 32 publications

References 9 publications

Untitled

Untitled

Does residual amniotic fluid after preterm premature rupture of membranes have an effect on perinatal outcomes? 12 years experience of a tertiary care center

Comparison between maternal and neonatal outcome of PPROM in the cases of amniotic fluid index (AFI) of more and less than 5 cm

Contact Info

Product

Resources

About