Preterm and term rupture of the amniotic sac in the third trimester: outcomes for mother and child

Objective: To evaluate the characteristics of women in labor and pregnancy outcomes at different gestational periods with preterm prelabor rupture of membranes (PPROM) and preterm rupture of membranes (PROM) in the third trimester of pregnancy.Materials and Methods: The study included pregnant women...

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Main Authors: E. V. Enkova, A. S. Fomina, V. V. Enkova, O. V. Khoperskaya
Format: Article
Language:English
Published: State Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian Federation 2021-12-01
Series:Медицинский вестник Юга России
Subjects:
Online Access:https://www.medicalherald.ru/jour/article/view/1441
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author E. V. Enkova
A. S. Fomina
V. V. Enkova
O. V. Khoperskaya
author_facet E. V. Enkova
A. S. Fomina
V. V. Enkova
O. V. Khoperskaya
author_sort E. V. Enkova
collection DOAJ
description Objective: To evaluate the characteristics of women in labor and pregnancy outcomes at different gestational periods with preterm prelabor rupture of membranes (PPROM) and preterm rupture of membranes (PROM) in the third trimester of pregnancy.Materials and Methods: The study included pregnant women in the third trimester, at the gestation period of 28-41.6 weeks of pregnancy, divided into groups of PROM and PPROM: 173 (80.8%) and 41 (19.2%) pregnant women, respectively.Results: It was found that PPROM is associated with a significantly lower gestational age, higher levels of C-reactive protein, and higher body temperature upon admission to the maternity hospital (P <0.05). Breech presentation and history of cesarean section were significantly associated with PPROM (P < 0.05), rather than PROM. The PPROM group had a significantly longer latency period compared to the PROM group, in which the latency period increased with a lower gestational age (28–31.6 weeks). A significantly higher rate of admission to the neonatal intensive care unit (NICU) was observed in the PPROM group compared to the PROM group. Also, at the gestational age of 28-31.6 weeks, a significantly higher rate of admission to the NICU was revealed compared to the gestational age of 32-36. 6 weeks (P < 0.05).Conclusions: The purpose of this retrospective study was to evaluate the characteristics of women in labor and pregnancy outcomes at different gestational periods with PPROM and PROM in the third trimester of pregnancy.
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spelling doaj.art-fd0036a03cb64ab6a4272e4a23a4c9b22022-12-22T04:39:51ZengState Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian FederationМедицинский вестник Юга России2219-80752618-78762021-12-01124121910.21886/2219-8075-2021-12-4-12-19843Preterm and term rupture of the amniotic sac in the third trimester: outcomes for mother and childE. V. Enkova0A. S. Fomina1V. V. Enkova2O. V. Khoperskaya3N.N. Burdenko Voronezh State Medical UniversityN.N. Burdenko Voronezh State Medical UniversityN.N. Burdenko Voronezh State Medical UniversityN.N. Burdenko Voronezh State Medical UniversityObjective: To evaluate the characteristics of women in labor and pregnancy outcomes at different gestational periods with preterm prelabor rupture of membranes (PPROM) and preterm rupture of membranes (PROM) in the third trimester of pregnancy.Materials and Methods: The study included pregnant women in the third trimester, at the gestation period of 28-41.6 weeks of pregnancy, divided into groups of PROM and PPROM: 173 (80.8%) and 41 (19.2%) pregnant women, respectively.Results: It was found that PPROM is associated with a significantly lower gestational age, higher levels of C-reactive protein, and higher body temperature upon admission to the maternity hospital (P <0.05). Breech presentation and history of cesarean section were significantly associated with PPROM (P < 0.05), rather than PROM. The PPROM group had a significantly longer latency period compared to the PROM group, in which the latency period increased with a lower gestational age (28–31.6 weeks). A significantly higher rate of admission to the neonatal intensive care unit (NICU) was observed in the PPROM group compared to the PROM group. Also, at the gestational age of 28-31.6 weeks, a significantly higher rate of admission to the NICU was revealed compared to the gestational age of 32-36. 6 weeks (P < 0.05).Conclusions: The purpose of this retrospective study was to evaluate the characteristics of women in labor and pregnancy outcomes at different gestational periods with PPROM and PROM in the third trimester of pregnancy.https://www.medicalherald.ru/jour/article/view/1441preterm and urgent childbirthpreterm rupture of membraneslatency periodrisk factors
spellingShingle E. V. Enkova
A. S. Fomina
V. V. Enkova
O. V. Khoperskaya
Preterm and term rupture of the amniotic sac in the third trimester: outcomes for mother and child
Медицинский вестник Юга России
preterm and urgent childbirth
preterm rupture of membranes
latency period
risk factors
title Preterm and term rupture of the amniotic sac in the third trimester: outcomes for mother and child
title_full Preterm and term rupture of the amniotic sac in the third trimester: outcomes for mother and child
title_fullStr Preterm and term rupture of the amniotic sac in the third trimester: outcomes for mother and child
title_full_unstemmed Preterm and term rupture of the amniotic sac in the third trimester: outcomes for mother and child
title_short Preterm and term rupture of the amniotic sac in the third trimester: outcomes for mother and child
title_sort preterm and term rupture of the amniotic sac in the third trimester outcomes for mother and child
topic preterm and urgent childbirth
preterm rupture of membranes
latency period
risk factors
url https://www.medicalherald.ru/jour/article/view/1441
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AT asfomina pretermandtermruptureoftheamnioticsacinthethirdtrimesteroutcomesformotherandchild
AT vvenkova pretermandtermruptureoftheamnioticsacinthethirdtrimesteroutcomesformotherandchild
AT ovkhoperskaya pretermandtermruptureoftheamnioticsacinthethirdtrimesteroutcomesformotherandchild