AMNIOTIC-FLUID INDEX AS A PREDICTOR OF LATENCY AFTER PRETERM PREMATURE RUPTURE OF THE MEMBRANES

被引：16

作者：

MACMILLAN, WE

MANN, SE

SHMOYS, SM

SALTZMAN, DH

机构：

[1] Department of Obstetrics and Gynecology, SUNY-Stony Brook, Stony Brook, New York

来源：

AMERICAN JOURNAL OF PERINATOLOGY | 1994年 / 11卷 / 04期

关键词：

AMNIOTIC FLUID; PREMATURE RUPTURE OF MEMBRANES; PREMATURITY;

D O I：

10.1055/s-2007-994584

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

To determine if latency following preterm premature rupture of membranes can be predicted using the amniotic fluid index, a retrospective observational study was performed using patient records to identify those admitted with a diagnosis of preterm premature rupture of membranes. Fifty-one patients with initial evaluation within 48 hours of rupture and gestational age 26 to 34 weeks were identified. Amniotic fluid index was evaluated along with a biophysical profile; these were followed serially until delivery. Delivery was accomplished because of spontaneous labor or chorioamnionitis. Amniotic fluid index at initial evaluation was stratified into three groups: Low (less than 5.0), reduced (4.0 to 7.9), and normal (8.0 or higher). Latency in days from preterm premature rupture of membranes to delivery was evaluated for these groups. A difference was noted in that latency was significantly longer in the group with normal versus low or reduced amniotic fluid index groups. The amount of residual amniotic fluid, as measured by the amniotic fluid index, following preterm premature rupture of membranes, is predictive of latency.

引用

页码：249 / 252

页数：4

共 7 条

[1]

Ogita S., Mizuno M., Takeda Y., Et al., Clinical effectiveness of a new cervical indwelling catheter in the management of premature rupture of the membranes: a Japanese collaborative study, Am J Obstet Gynecol, 159, (1988)

[2]

Moore T.R., Cayle J.F., The amniotic fluid index in normal human pregnancy, Am J Obstet Gynecol, 162, (1990)

[3]

Silver R.K., MacGregor S.N., Hobart E.U., Impact of residual amniotic fluid volume in patients receiving parenteral tocolysis after premature rupture of the membranes, Am j Obstet Gynecol, 161, (1989)

[4]

Vintzileos A.M., Campbell W.A., Nochimson U.J., Weinbaum P.J., Uegree of oligohydramnios and pregnancy outcome with premature rupture of the membranes, Obstet Gynecol, 66, (1985)

[5]

Shmoys S.M., Sivkin M., Uery C., Et al., Amniotic fluid index: an appropriate predictor of perinatal outcome, Am J Peri-natol, 7, (1990)

[6]

Manning F.A., Platt L.U., Sipos L., Antepartum fetal evaluation: development of a biophysical profile, Am J Obstet Gynecol, 136, (1980)

[7]

Vintzileos A.M., Campbell W.A., Nochimson U.J., Connolly M.E., Fuenfer M.M., Hoehn G.J., The fetal biophysical profile in patients with premature rupture of the membranes—an early predictor of fetal infection, Am J Obstet Gynecol, 152, (1985)

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