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, Mertihan; Kolusarı, Ali; Adalı, Ertan; Yıldızhan, Recep; Kurdoğlu, Zehra; Kucukaydin, Zehra; Kaya, Avni; Kırımi, Ercan; Şahin, Hanım Güler; Kamacı, Mansur

doi:10.1007/s00404-009-1147-4

“…The concept that oligohydramnios is associated with adverse outcomes is not new, however, results from previous studies have been conflicting and contradictory [1][2][3][4][5][6][7][8][9][10][11][12][13]. Our data indicated that oligohydramnios was associated with an earlier gestational age at PPROM.…”

Section: Discussionmentioning

confidence: 59%

“…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%

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Maternal and Perinatal Outcomes in Pregnancies after Preterm Premature Rupture of Membranes Determined by Single Deepest Vertical Pocket

Martins¹

2017

OGIJ

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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.

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“…Also, in Park et al [13] study, patients did not receive prophylactic antibiotics and some received tocolysis, which may have interfered with the association described in his study. Borna et al [9] and Kurdoglu et al [8] did not observe a difference in the gestational age of delivery between the groups.…”

Section: Discussionmentioning

confidence: 84%

Untitled

2017

OGIJ

0

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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.

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“…The more recent literature has focused prevalently on two ROM biomarker tests: the AmniSure ® ROM Test (AmniSure ® lnternational LLC, Boston, MA, USA), based on the detection of placental α -microglobulin 1 ( PAMG-1), and the Actim ® Prom Test (Oy Medix Biochemica Ab, Kauniainen, Finland), based on the detection of insulinlike growth factor binding protein (IGFBP-1) [12,25,27,39] . The test based on PAMG-1 is the more recent of the two, with the first study on it being published in 2005, vs. 1996 for the test based on IGFBP-1 [8,41] .…”

Section: Introductionmentioning

confidence: 99%

The diagnosis of rupture of fetal membranes (ROM): a meta-analysis

Ramsauer

¹

,

Vidaeff

²

,

Hösli

³

et al. 2012

Journal of Perinatal Medicine

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Aim: The aim of this study was to compare the performance of tests based on the detection of insulin-like growth factor binding protein 1 (IGFBP-1) and placental α -microglobulin-1 (PAMG-1) in diagnosing rupture of fetal membranes (ROM) across different patient populations. Methods: A meta-analysis was conducted on prospective observational or cohort studies investigating ROM tests based on the detection of IGFBP-1 and PAMG-1 meeting the following criteria: (1) performance metrics calculated by comparing results to an adequate reference method; (2) sensitivity thresholds of the investigated tests matching those of the currently available tests; (3) study population, as a minimum, included patients between 25 and 37 weeks of gestation. Sensitivities, specificities, and diagnostic odds ratios were calculated. Results: Across all patient populations, the analyzed performance measures of the PAMG-1 test were significantly superior compared with those of the IGFBP-1 test. Of particular clinical relevance, PAMG-1 outperformed IGFBP-1 in the equivocal group, which comprised patients with uncertain rupture of membranes (sensitivity, 96.0 % vs. 73.9 % ; specificity, 98.9 % vs. 77.8 % ; respectively). Conclusions: Compared with its performance in women with known membrane status, the accuracy of the IGFBP-1 test decreases significantly when used on patients whose membrane status is unknown. In this latter clinically relevant population, the PAMG-1 test has higher accuracy than the IGFBP-1 test.

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

Abstract: A residual AFI < 50 mm after preterm PROM between 24 and 34 weeks of gestation, which is mostly seen in grand multiparous women in Eastern Turkey, may be a valuable prognostic variable for anticipating adverse maternal and neonatal outcomes.

Cited by 13 publications

References 15 publications

Maternal and Perinatal Outcomes in Pregnancies after Preterm Premature Rupture of Membranes Determined by Single Deepest Vertical Pocket

Maternal and Perinatal Outcomes in Pregnancies after Preterm Premature Rupture of Membranes Determined by Single Deepest Vertical Pocket

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The diagnosis of rupture of fetal membranes (ROM): a meta-analysis

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