Risks of Preterm Premature Rupture of Membranes and Preterm Birth Post Fetoscopy Based on Location of Trocar Insertion Site

Chmait, Ramen H.; Chon, Andrew H.; Korst, Lisa M.; Llanes, Arlyn; Kontopoulos, Eftichia V.; Quintero, Rubén A.

doi:10.1055/s-0037-1620268

Cited by 11 publications

(1 citation statement)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous studies have found that vaginitis caused by infection is a risk factor for premature rupture of membranes [ 46 , 47 ]. One possible reason is that infection leads to the destruction of the glial fibers of the membranes, which reduces the toughness of the membranes and increases the risk of PROM.…”

Section: Discussionmentioning

confidence: 99%

Relationship between first trimester physical activity and premature rupture of membranes: a birth cohort study in Chinese women

Lv,

Lu,

Zhang

et al. 2024

BMC Public Health

View full text Add to dashboard Cite

Objective This study aimed to examine prospective associations of different intensity levels and types of physical activity (PA) in early pregnancy with premature rupture of membranes (PROM) among Chinese pregnant women. Methods A total of 6284 pregnant women were included from the Tongji-Shuangliu Birth Cohort. Household/caregiving, occupational, sports/exercise and transportation activities during early pregnancy were investigated by the pregnancy physical activity questionnaire (PPAQ), and the diagnosis of PROM was ascertained during the whole pregnancy. Multivariate logistic regression models were used to estimate the odds ratios (ORs) and 95% confidence interval (CI) for the associations between PA and PROM. Results Among the 6284 pregnant women, 1246 were identified to have PROM (19.8%). Women undertaking the highest level (3 third tertile) of PA during pregnancy appeared to have a lower risk of PROM [OR = 0.68, 95%CI 0.58–0.80) when compared to those at the lowest tertile of PA. Similarly, women with increased levels of light intensity activity, moderate-vigorous intensive, household/caregiving activity and meeting exercise guidelines during pregnancy were associated with reduced risks of PROM (OR = 0.69, 95% CI 0.59–0.81, OR = 0.70, 95% CI 0.60–0.82, OR = 0.62, 95% CI 0.53–0.73 and OR = 0.82, 95% CI 0.70–0.97, respectively). Conclusions High levels of PA of different intensities and PA of household/caregiving activities and meeting exercise guidelines during the first trimester were associated with a lower incidence of PROM. Trial registration The data of human participants in this study were conducted in accordance with the Helsinki Declaration. This study has been approved by the Ethics Committee of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China ([2017] No. S225). All participants provided written informed consent prior to enrollment. A statement to confirm that all methods were carried out in accordance with relevant guidelines and regulations.

show abstract

Section: Discussionmentioning

confidence: 99%

Relationship between first trimester physical activity and premature rupture of membranes: a birth cohort study in Chinese women

Lv,

Lu,

Zhang

et al. 2024

BMC Public Health

View full text Add to dashboard Cite

show abstract

Effect of cannula insertion site during fetal endoscopic tracheal occlusion for congenital diaphragmatic hernia on preterm prelabor rupture of membranes

Cordier,

Badr,

Basurto

et al. 2024

Ultrasound in Obstet & Gyne

View full text Add to dashboard Cite

ObjectiveFew fetal malformations benefit from in utero surgery. One of the major drawbacks of fetal surgery is preterm premature rupture of membranes (PPROM). Morbidity associated with congenital diaphragmatic hernia (CDH) is primarily respiratory but also gastrointestinal and induced prematurity are likely to worsens those complications. To assess whether or not the cannula insertion site on the maternal abdomen during fetoscopic endoluminal tracheal occlusion (FETO) was associated with PPROM before balloon removal.MethodsThis multicenter retrospective study was conducted on consecutive pregnancies with isolated left‐ or right‐sided CDH fetuses who underwent FETO in 4 centers between January 2009 and January 2021. The insertion site for balloon insertion was categorized as above or below the umbilicus. One propensity score was analyzed in both groups: entry above the umbilicus and entry below, to calculate an average treatment effect (ATE) by inverse probability of treatment weighting (IPTW). Afterwards, one logistic regression and one Cox proportional hazard regression that included the ATE weights were performed to examine the effect size of entry point on the frequency and timing of PPROM prior to the balloon removal procedure.ResultsA total of 294 patients were included. Mean gestational age (GA) at PPROM was 33.50±2.01 weeks of gestation (WG) and the mean rate of PPROM was 25.8% (76/294). GA at FETO was later in the “below umbilicus” group (29.0±1.25 WG vs 29.47±1.29 WG, p=0.002) and the duration of FETO was longer in the “above umbilicus” group (14.49 min [interquartile range‐IQR: 8.00‐21.00] vs 11.00 min [IQR: 7.00‐14.49], p=0.002). After balancing for possible confounding factors, entry point below the umbilicus did not increase the risk of PPROM (adjusted OR: 1.56, 95%CI: [0.89‐2.74], p=0.120) and had no effect on the time point at membrane rupture (adjusted HR: 1.56, 95% CI: [0.95‐2.55], p=0.080).ConclusionThere was no evidence that uterine entry site was correlated with the risk of PPROM before balloon removal.This article is protected by copyright. All rights reserved.

show abstract

Twin-Twin Transfusion Syndrome

Bamberg

Hecher

2021

Twin and Higher-Order Pregnancies

View full text Add to dashboard Cite

Risks of Preterm Premature Rupture of Membranes and Preterm Birth Post Fetoscopy Based on Location of Trocar Insertion Site

Abstract: We found that trocar insertion in the LUS, particularly the lateral LUS, was associated with an increased risk of PPROM.

Cited by 11 publications

References 18 publications

Relationship between first trimester physical activity and premature rupture of membranes: a birth cohort study in Chinese women

Relationship between first trimester physical activity and premature rupture of membranes: a birth cohort study in Chinese women

Effect of cannula insertion site during fetal endoscopic tracheal occlusion for congenital diaphragmatic hernia on preterm prelabor rupture of membranes

Twin-Twin Transfusion Syndrome

Contact Info

Product

Resources

About