Diagnostic Modalities in Premature Rupture of Membranes

Eskicioğlu, Fatma; Gür, Esra Bahar

doi:10.15296/ijwhr.2015.17

Cited by 6 publications

(10 citation statements)

References 26 publications

(27 reference statements)

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“…However, since time immemorial, its aetiology has remained obscure. Nevertheless, the efforts of various scholars have continued to demonstrate the association of various obstetric and gynaecologic factors with premature rupture of membranes such as prior history of PROM or preterm labour, genital infections, prior abortions, multiple gestation, polyhydramnios, and prior cervical procedures [11][12][13][14][15] among others. A few available recently conducted studies in central Uganda have only attempted to describe the association of genital infections with PROM [16,17].…”

Section: Introductionmentioning

confidence: 99%

Predictors of Premature Rupture of Membranes among Pregnant Women in Rural Uganda: A Cross-Sectional Study at a Tertiary Teaching Hospital

Byonanuwe

Nzabandora

Nyongozi

et al. 2020

International Journal of Reproductive Medicine

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Background. Premature rupture of membranes (PROM) is a common condition in developed and developing countries and poses a serious threat to the maternal and fetal well-being if not properly managed. This study delineated the prevalence and predictors of PROM in the western part of Uganda so as to guide specific preventive measures. Methods. A cross-sectional study design was conducted in the months of September 2019 to November 2019. A total of 334 pregnant women above 28 weeks of gestation admitted at the maternity ward of KIU-TH were consecutively enrolled. Interviewer-administered questionnaires were used to obtain the data. Descriptive statistics followed by binary logistic regression were conducted. All data analyses were conducted using STATA 14.2. Results. Of the 334 pregnant women enrolled, the prevalence of PROM was found to be 13.8%. The significant independent predictors associated with lower odds of PROM were no history of urinary tract infection (UTI) in the month preceding enrollment into the study (aOR = 0:5, 95% CI: 0.22-0.69, p = 0:038) and gestational age of 37 weeks or more (aOR = 0:3, 95% CI: 0.14-0.71, p = 0:01) while history of 3 or more abortions (aOR = 13:1, 95% CI: 1.12-153.62, p = 0:05) was associated with higher likelihood of PROM. Conclusions. Majorly urinary tract infections, low gestational age, and abortions influence premature rupture of membranes among women. There is a great need for continuous screening and prompt treatment of pregnant women for UTI especially those with history of 3 or more abortions at less than 34 weeks of gestation.

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Section: Introductionmentioning

confidence: 99%

Predictors of Premature Rupture of Membranes among Pregnant Women in Rural Uganda: A Cross-Sectional Study at a Tertiary Teaching Hospital

Byonanuwe

Nzabandora

Nyongozi

et al. 2020

International Journal of Reproductive Medicine

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“…The digital cervical examination is avoided given the risk of introducing infection; however, it can be performed in patients presenting with active labour or having an imminent delivery ( 57 , 58 ). Oligohydramnios using ultrasound imaging may aid in pinpointing PROM in a pregnant woman with a clinical diagnosis of PROM ( 59 , 60 ).…”

Section: Discussionmentioning

confidence: 99%

“…The conventional diagnostic approaches include the ‘Nitrazine test’ and the ‘Fern test’. Nitrazine test is a conventional test that has been used since 1938 for evaluating PROM ( 60 , 61 ). This approach utilises pH testing of leaked amniotic fluid, but it may lead to equivocal results particularly if the leakage of amniotic fluid occurred after an hour or more.…”

Section: Discussionmentioning

confidence: 99%

Current and Emerging Strategies for Prediction and Diagnosis of Prelabour Rupture of the Membranes: A Narrative Review

Ghafoor¹

2021

MJMS

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Prelabour rupture of membranes (PROM) refers to the disruption of foetal membranes before the onset of labour, resulting in the leakage of amniotic fluid. PROM complicates 3% and 8% of preterm and term pregnancies, respectively. Accurate and timely diagnosis is crucial for effective management to prevent adverse maternal- and foetal-outcomes. The diagnosis of equivocal PROM cases with traditional methods often becomes challenging in current obstetrics practice; therefore, various novel biochemical markers have emerged as promising diagnostic tools. This narrative review is sought to review the published data to understand the current and emerging trends in diagnostic modalities in term and preterm pregnancies complicated with PROM and the potential role of various markers for predicting preterm PROM (pPROM) and chorioamnionitis in women with pPROM.

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“…This result similar to previous research by Bharathi et al to know the relationship between bacterial infections including BV with PPROM using Nugent criteria in establishing a diagnosis of BV. 15 The Nugent score in this study was used to diagnose BV in PPROM. Research by Bharathi et al also used Nugent criteria and did not use the Amsel criteria in establishing BV diagnosis, because the vaginal discharge could be alkaline due to amniotic fluid that occurs in the PPROM.…”

Section: Original Articlementioning

confidence: 99%

Bacterial vaginosis as a risk factor of preterm premature rupture of membrane (PPROM)

Wiraguna¹,

Rusyati²,

Vijayamurthy³

2019

Bali Dermatology and Venereology Journal

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Introduction: The pathogenesis of PPROM is complex and not fully understood. Recent studies showed that such role of genital tract infection as bacterial vaginosis in the pathogenesis of PPROM turned out to be present. They produce lipase enzymes in which they can form compounds with the fibrous tissue of amniotic membrane resulting in increased risk of rupture of the membrane.Objective This study aims to prove that bacterial vaginosis is a risk factor for preterm premature rupture of membrane.Material and methods: This research used case control method. Sampling was using the consecutive sampling method and had fulfilled inclusion and exclusion criteria with age-based matching, then vaginal swab sampling was conducted, painted with gram staining in the Dermalotogy and Venereology Laboratory of Sanglah Hospital, and Nugent score.Result: Total of 76 pregnant women with 24-36 weeks of gestation were investigated, 38 mothers with PPROM and 38 mothers with normal pregnancy. Average score of Nugent at preterm PROM was 7.18 and in normal pregnancy was 2.37. Bacterial vaginosis risking for PPROM 7 times (OR= 7.0, 95% CI= 1.21-17.68, p= 0.001).Conclusion: Bacterial vaginosis as a risk factor for the occurrence of PPROM.

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Diagnostic Modalities in Premature Rupture of Membranes

Cited by 6 publications

References 26 publications

Predictors of Premature Rupture of Membranes among Pregnant Women in Rural Uganda: A Cross-Sectional Study at a Tertiary Teaching Hospital

Predictors of Premature Rupture of Membranes among Pregnant Women in Rural Uganda: A Cross-Sectional Study at a Tertiary Teaching Hospital

Current and Emerging Strategies for Prediction and Diagnosis of Prelabour Rupture of the Membranes: A Narrative Review

Bacterial vaginosis as a risk factor of preterm premature rupture of membrane (PPROM)

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