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Federación Mexicana de Ginecología y Obstetricia, A.C.
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2020, Number 01

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Ginecol Obstet Mex 2020; 88 (01)

Risk factors associated with the preterm premature rupture of membranes in pregnant women of a hospital in Callao, Peru

Meléndez-Saravia N, Barja-Ore J
Full text How to cite this article

Language: Spanish
References: 16
Page: 23-28
PDF size: 186.78 Kb.


Key words:

Pregnancy, Preterm, Urinary tract infections, Risk factors, Premature Rupture Membranes.

ABSTRACT

Objective: Determine the risk factors associated with preterm premature rupture of membranes.
Materials and Methods: An observational, analytical study design of cases and controls, retrospective and transversal, carried out in pregnant women treated in 2017 at the San José Hospital, Callao, Peru. Sociodemographic and obstetric factors were studied. For the bivariate statistical analysis, the chi-square test was applied χ2, the Odds ratio with its confidence intervals; and for multivariate analysis, the binary logistic regression test.
Results: The sample was 32 pregnant women with Preterm Premature Rupture of Membranes (cases) and 64 pregnant women without pathologies (controls). Among the factors studied, the sociodemographic ones showed no significant association; while obstetric factors such as vaginal cervical infections (ORa: 6.9; CI 95%: 1.6-29.2), urinary tract infection (ORa: 5.1; CI 95%: 1.5-17.2) and anemia (ORa: 4.8; CI 95%: 1.6-14.2) showed a significant increase in the risk of preterm premature rupture of membranes when a pregnant woman is exposed to them.
Conclusions: Vaginal cervical infections, urinary tract infection and anemia were risk factors associated with Preterm Premature Rupture of Membranes in the study group.


REFERENCES

  1. The American College of Obstetricians and Gynecologists. Prelabor rupture of membranes. Practice Bulletin No. 188. Obstet Gynecol. 2018; 131 (1): e1-e14. doi: 10.1097/ AOG.0000000000002455

  2. Di Renzo GC, et al. Guidelines for the management of spontaneous preterm labor: identification of spontaneous preterm labor, diagnosis of preterm premature rupture of membranes, and preventive tools for preterm birth. J Matern Fetal Neonatal Med. 201; 24 (5): 659-67. doi: 10.3109/14767058.2011.553694.

  3. Hospital San José. Análisis de situación de salud (ASIS) del Hospital San José del Callao. Unidad de Epidemiología y Salud Ambiental. Perú, 2014.

  4. Suárez J, et al. La rotura prematura de membranas pretérmino y su relación con las consecuencias maternas y perinatales. Acta Med Cent 2016; 10 (3): 40-47.

  5. Ministerio de Salud. Guía Perinatal. 1a ed. Santiago, Chile. 2015. https://www.minsal.cl/sites/default/files/files/ GUIA%20PERINATAL_2015_%20PARA%20PUBLICAR.pdf

  6. Uriarte A. Complicaciones maternas asociadas a la rotura prematura de membranas en embarazadas de 28 a 34 semanas. Tesis de especialidad, Universidad de San Martín de Porres. Lima, Perú. 2013. http://www.repositorioacademico. usmp.edu.pe/handle/usmp/1428.

  7. Miranda-Flores A. Resultados maternos y perinatales del manejo conservador de la rotura prematura de membranas en embarazadas de 24 a 33 semanas. Acta Méd Peruana. 2014; 31 (2): 84-89. http://www.scielo.org.pe/pdf/amp/ v31n2/a04v31n2.pdf

  8. Meller CH, et al. Preterm premature rupture of membranes. Arch Argent Pediatr. 2018; 116 (4): e575-e581. doi: 10.5546/aap.2018.eng.e575.

  9. Schwarcz R, Fescina R, Duvergers C. Obstetricia. 6 ed. Argentina: El Ateneo, 2008; 242.

  10. Cunningham G, et al. Obstetrics. 24 ed. New York: McGraw- Hill Education, 2014; 839-40.

  11. Díaz V. Factores de riesgo asociados a ruptura prematura de membranas en embarazadas pretérmino atendidas en el Hospital Vitarte durante el año 2015. Tesis de grado. Universidad Ricardo Palma. Lima, Perú. 2017. http:// cybertesis.urp.edu.pe/handle/urp/989>

  12. Assefa NE, et al. Risk factors of premature rupture of membranes in public hospitals at Mekele city, Tigray, a case control study. BMC Pregnancy Childbirth. 2018; 18 (1): 386. doi:10.1186/s12884-018-2016-6.

  13. Alfaro K. Factores asociados con ruptura prematura de membranas pretérmino. Tesis de grado. Universidad Privada Antenor Orrego. Trujillo, Perú. 2017. http://repositorio. upao.edu.pe/handle/upaorep/2565

  14. Sae-Lin P, Wanitpongpan P. Incidence and risk factors of preterm premature rupture of membranes in singleton pregnancies at Siriraj Hospital. J Obstet Gynaecol Res. 2019; 45 (3): 573-77. doi: 10.1111/jog.13886.

  15. Hackenhaar A, et al. Preterm premature rupture of the fetal membranes: association with sociodemographic factors and maternal genitourinary infections. J. Pediatr. (Rio J.). 2014;90(2):197-202. DOI: http://dx.doi.org/10.1016/j. jped.2013.08.003.

  16. Morgan F, et al. Factores sociodemográficos y obstétricos asociados con rotura prematura de membranas. Ginecol Obstet Mex. 2008; 76 (8): 468-75. https://www.medigraphic. com/pdfs/ginobsmex/gom-2008/gom088g.pdf




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Ginecol Obstet Mex. 2020;88