J Gynecol Obst Bio R
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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].
Preterm 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. ⋯ 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.
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J Gynecol Obst Bio R · Oct 2008
Review Case Reports[Postpartum-urinary retention. A report of two cases and a review of literature].
The urinary retention is rather banal during the postpartum: 0.45 to 17.9% and now we know the main risk factors: duration of labour, epidural, episiotomy. Diagnosed on time, the postpartum-urinary retention will not have any consequence; on the other hand, a delay in care can lead to a persisting urinary retention with possible long-term urinary sequels. This article, based on two cases reports and a literature review, shows the heterogeneity in medical care of the postpartum-urinary retention.