• J Gynecol Obst Bio R · Oct 2008

    Review

    [Complications and monitoring of the latency period after a preterm premature rupture of the fetal membranes: literature review].

    • J-C Pasquier and M Doret.
    • Département de gynécologie-obstétrique, faculté de médecine, université de Sherbrooke, Sherbrooke, Qc J1H 5N4, Canada. jean-charles.pasquier@usherbrooke.ca
    • J Gynecol Obst Bio R. 2008 Oct 1;37(6):568-78.

    AbstractPreterm premature rupture of the membranes (PPROM) begins a high-risk period for both mother and fetus. This literature review updates the knowledge on latency-period complications and proposed monitoring strategies. Four latency-period complications are described: spontaneous onset of labor, infection (chorioamnionitis), abruptio placentae, and fetal, distress which can be linked to umbilical cord prolapse. Admittedly, the infection/inflammation process plays a key role during the latency period. Conservative management of PPROM is recommended and is associated with significant pregnancy prolongation. This strategy allows a gain in fetal maturity, but increases the risk of complications. The prediction of infection seems to be essential; classical markers, such as blood count and reactive C protein are not very effective. New markers have been tested, with IL-6 appearing to be one of the best infection markers. Fetal pulmonary maturity can be evaluated with a rapid screening test and can yield arguments for the management strategy.

      Pubmed     Free full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        

    hide…

What will the 'Medical Journal of You' look like?

Start your free 21 day trial now.

We guarantee your privacy. Your email address will not be shared.