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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2014, Number 12

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Ginecol Obstet Mex 2014; 82 (12)

Histologic chorioamnionitis prevalence in patients with premature rupture membranes

García-de la Torre JI, Delgado-Rosas A, González-Cantú G
Full text How to cite this article

Language: Spanish
References: 10
Page: 791-795
PDF size: 342.88 Kb.


Key words:

histologic chorioamnionitis, premature rupture of membranes.

ABSTRACT

Objective: Search Histologic Chorioamnionitis frequency in patients in week 28 (±) and pregnancy with premature rupture of membranes.
Patients and method: Retrospective and observational study in which we studied all patients who came between June 28, 2011 and November 15, 2011 to receive obstetric care in the service of Tocochirurgical of the University Hospital of Saltillo, with greater than or equal 28 weeks of pregnancy.
Results: 598 patients were studied, and the frequency of premature rupture of membranes with histologic chorioamnionitis at term patients was, respectively, 1.7 and 5.3% in preterm labor. In the total sample frequency of histologic chorioamnionitis was 0.6% (4 patients) and, of these, 25% were term and 75% with preterm rupture. In patients with premature rupture of membranes the clinical chorioamnionitis was 0% valued by the criteria of Gibbs.
Conclusions: The premature rupture of membranes is a risk factor important for histological chorioamnionitis. To decrease risk factors and possible complications, an established protocol must be taken.


REFERENCES

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  2. The American College of Obstetricians and Gynecologist; Clinical management guidelines for obstetrician-gynecologist; Premature Rupture of membranes; Number 80, April 2007;993.

  3. Rivera ZR, Caba FB, Smirnow MS, Aguilera JT, Larraín H. Fisiopatologia de la rotura prematura de las membranas ovulares en embarazos de pretérmino. Rev Chil Obstet Ginecol 2004;69:249-255.

  4. Mercer B. Preterm premature rupture of the membranes: current approaches to evaluation and management. Obstet Gynecol Clin N Am 2005;32:411-28.

  5. Alan TN, W. Andrews, WW. Diagnosis and Management of Clinical Chorioamnionitis. Clin Perinatol 2010 37:339-354. doi:10.1016/j.clp.2010.02.003.

  6. Rodney K. Edwards, MD, MS. Chorioamnionitis and Labor Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Florida College of Medicine. Obstet Gynecol Clin N Am 2005;32:287-296.

  7. Westover T, Knuppel RA. Modern management of clinical chorioamnionitis. Infect Dis Obst Gynecol 1995;3:123- 132.

  8. Miyazaki K, Furuhuashi M, Matsuo K. Impact of subclinical chorioamnionitis on maternal and neonatal Outcomes. Acta Obstet Gynecol 2007;86:191-197.

  9. Park HS, Romero R, Lee SM, et al. Histologic Chorioamnionitis is More Common after Spontaneous Labor than after Induced Labor at Term. Placenta 2010;31:792e795.

  10. Wu HC, Shen CM, Wu YY, Yuh YS, Kua KE. Subclinical histologic chorioamnionitis and related clinical and laboratory parameters in preterm deliveries. Pediatr Neonatol 2009;50:1875-1895.




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Ginecol Obstet Mex. 2014;82