Outcome of pregnancies complicated by ruptured membranes after genetic amniocentesis

Borgida, Adam; Mills, Alyssa A; Feldman, Deborah; Rodis, John F.; Egan, James

doi:10.1067/mob.2000.108872

Cited by 158 publications

(49 citation statements)

References 7 publications

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“…18 Most cases of post-amniocentesis amniorrhexis are self-limited, however, and resolve spontaneously, which leads to favorable pregnancy outcomes. 19 Occasionally, patients with spontaneous preterm PROM cease to leak amniotic fluid. These patients also have good pregnancy outcomes as they are delivered at a mean gestational age of 38 weeks.…”

Section: Fetal Membrane Healingmentioning

confidence: 99%

Fetal membrane healing after spontaneous and iatrogenic membrane rupture: A review of current evidence

Devlieger

Millar

Bryant‐Greenwood

et al. 2006

American Journal of Obstetrics and Gynecology

123

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In view of the important protective role of the fetal membranes, wound sealing, tissue regeneration, or wound healing could be life saving in cases of preterm premature rupture of the membranes. Although many investigators are studying the causes of preterm premature rupture of membranes, the emphasis has not been on the wound healing capacity of the fetal membranes. In this review, the relevant literature on the pathophysiologic condition that leads to preterm premature rupture of membranes will be summarized to emphasize a continuum of events between rupture and repair. We will present the current knowledge on fetal membrane wound healing and discuss the clinical implications of these findings. We will critically discuss recent experimental interventions in women to seal or heal the fetal membranes after preterm premature rupture of membranes. KeywordsPreterm premature rupture of membranes; Pregnancy outcome Intact fetal membranes during pregnancy are important to the maintenance of amniotic fluid homeostasis and in the defense against ascending infection. Although the association with preterm premature rupture of membranes (PROM) and adverse pregnancy outcomes have been well-described, data regarding the capacity of the fetal membranes for healing and repair remain limited. Multiple potential therapies have been advocated for the treatment of preterm PROM with some success, especially in cases of postprocedural fetal membrane rupture. However, before incorporation in clinical practice, potential therapies should be studied further in animal models and human fetal membrane explants to determine the efficacy and optimal treatment regimens.The amnion, chorion, and contiguous maternal decidua form the human fetal membranes in the second and third trimester of pregnancy. The membranes form an adjustable bio-container * Reprint requests: Roland Devlieger, MD, PhD, Department of Obstetrics and Gynecology, University Hospital Leuven, Herestraat 49, B-3000 Leuven, Belgium. E-mail: roland.devlieger@uz.kuleuven.ac.be. This review discusses human fetal membrane healing by focusing on cause, clinical consequences, and potential therapies to prevent and treat preterm premature rupture of membranes.

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Section: Fetal Membrane Healingmentioning

confidence: 99%

Fetal membrane healing after spontaneous and iatrogenic membrane rupture: A review of current evidence

Devlieger

Millar

Bryant‐Greenwood

et al. 2006

American Journal of Obstetrics and Gynecology

123

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“…The perinatal survival rate was 91% and the mean time of delivery 34.2 weeks. 9 Cases of fetal needle injuries have been reported, but are rare when amniocentesis is performed under continous ultrasonographic guidance. 6 Amniocentesis carres a risk for mother-to-child transmission of blood borne diseases such as hepatitis B virus, hepatitis C virus and Human immunodeficiency virus (HIV).…”

Section: Discussionmentioning

confidence: 99%

Rupture of uterine muscle hematoma following diagnostic amniocentesis at 18 weeks and uterine dehiscence at term

Krastiņa

Savlovskis

Langrate

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Uterine rupture during pregnancy is a rare complication that, like any rupture in other body organ, has a life-saving condition. However, in this case, it threatens both, the mother and the child lives and it can lead to serious complications such as asphyxia, hemorrhagic shock, perinatal hysterectomy, hypoxic ischemic encephalopathy, brain injury, and death. It is known, that most often, it develops during the third trimester of pregnancy or during labor. We report a patient who experienced uterine rupture with 2500 ml blood loss following the diagnostic amniocentesis at 16 weeks. The same patient had suture dehiscence at the site of hematoma what was revealed during the Caesarean section at 37 weeks and a healthy baby was delivered.

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“…Usually reseal is expected to occur within 7 days [6][7][8] . Exceptional late normalization of the AF volume was reported by Borgida in three out of 11 cases, on day 31, 43 and 51, although the precise timing of normalization could not be determined as ultrasound scans were performed weekly 3 . In our patient, anhydramnios was observed over 10 days by scanning every 2 days and AF volume only normalized at day 15.…”

Section: Letters To the Editormentioning

confidence: 99%

“…Neonatal gastric perforation is known to occur spontaneously 1 probably due to overdistention 2 or secondary to underlying diseases such as duodenal atresia, pyloric atresia 3 , a tracheo-esophageal fistula 4 , malrotation 5 and diaphragmatic eventration 6 . In addition, a case of CDH presenting neonatal gastric perforation on the fourth day of life due to strangulation of the incarcerated stomach 7 has been reported.…”

Section: Letters To the Editormentioning

confidence: 99%

Transient anhydramnios after early amniocentesis complicated by membrane rupture

Abboud¹,

Mansour²,

Zejli³

2002

Ultrasound in Obstet & Gyne

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Outcome of pregnancies complicated by ruptured membranes after genetic amniocentesis

Cited by 158 publications

References 7 publications

Fetal membrane healing after spontaneous and iatrogenic membrane rupture: A review of current evidence

Fetal membrane healing after spontaneous and iatrogenic membrane rupture: A review of current evidence

Rupture of uterine muscle hematoma following diagnostic amniocentesis at 18 weeks and uterine dehiscence at term

Transient anhydramnios after early amniocentesis complicated by membrane rupture

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