Analysis of the Factors Affecting the Latency Period and Type of Birth in Patients with Preterm Prematur Rupture of Membranes

Year 2022, , 754 - 761, 29.09.2022

Yunus İlhan , Ozan Kuzu , Sercan Gözel Ayşe Ender Yumru

https://doi.org/10.30621/jbachs.1055136

Abstract

ABSTRACT

Background and Purpose: To determine the factors associated with the latent period in patients with preterm premature rupture of membranes (PPROM).

Methods: 53 patients who applied to our clinic within 1 year and were diagnosed with PPROM and met the inclusion criteria participated in this prospective cross-sectional study. Factors thought to affect the latent period in these patients were examined in terms of delivery time and mode.

Results: Latent period; was negatively correlated with dilatation and positively correlated with collum length. The mean latent time of patients with contraction was statistically significantly lower than those without.
In another model, gestational week, collum length and birth weight were found to be the most significant factors associated with the latent period.
In the latent period groups; Statistically, a significant difference was found in the mean dilatation and collum length.
The contraction rate was higher in those with a latency period of 2 days or less.

Conclusion: Latent duration is inversely proportional to dilatation and directly proportional to collum length. Uterine contraction is higher in patients with a latency period of fewer than 2 days. Other statistically significant factors related to the latent period are the gestational week and the fetal weight.

Keywords

Fetal Membranes, Premature Rupture, Latency

References

• 1 ACOG (American Congress of Obstetricians and Gynecologists). Rupture P. Premature rupture of Membranes Practice Bouletin. 2016;128(4):165–77.
• 2 ACOG (American Congress of Obstetricians and Gynecologists). Practice bulletins No. 139: premature rupture of membranes. Obstet Gynecol. 2013 Oct;122(4):918–30.
• 3 Waters TP, Mercer BM. The management of preterm premature rupture of the membranes near the limit of fetal viability. Am J Obstet Gynecol. 2009 Sep;201(3):230–40.
• 4 Mercer BM, Goldenberg RL, Meis PJ, Moawad AH, Shellhaas C, Das A, et al. The Preterm Prediction Study: Prediction of preterm premature rupture of membranes through clinical findings and ancillary testing. Am J Obstet Gynecol. 2000 Sep;183(3):738–45.
• 5 Van Der Ham DP, Van Der Heyden JL, Opmeer BC, Mulder ALM, Moonen RMJ, Van Beek Hans JJ, et al. Management of late-preterm premature rupture of membranes: The PPROMEXIL-2 trial. Obstetrical and Gynecological Survey. 2013 vol: 68 (2) pp: 89-91
• 6 Phupong V, Kulmala L. Factors associated with latency period in preterm prelabor rupture of membranes. J Matern Neonatal Med. 2015 Oct 20;1–4.
• 7 Mehra S, Amon E, Hopkins S, Gavard JA, Shyken J. Transvaginal cervical length and amniotic fluid index: can it predict delivery latency following preterm premature rupture of membranes? Am J Obstet Gynecol. 2015 Mar 1;212(3):400.e1-9.
• 8 Mehra S, Amon E, Hopkins S, Gavard JA, Shyken J. Transvaginal cervical length and amniotic fluid index: can it predict delivery latency following preterm premature rupture of membranes? Am J Obstet Gynecol. 2015 Mar 1;212(3):400.e1-9.
• 9 Mehra S, Amon E, Hopkins S, Gavard JA, Shyken J. Transvaginal cervical length and amniotic fluid index: can it predict delivery latency following preterm premature rupture of membranes? Am J Obstet Gynecol. 2015 Mar 1;212(3):400.e1-9.
• 10 Melamed N, Hadar E, Ben-Haroush A, Kaplan B, Yogev Y. Factors affecting the duration of the latency period in preterm premature rupture of membranes. J Matern Neonatal Med. 2009 Nov 17;22(11):1051–6.
• 11 Test G, Levy A, Wiznitzer A, Mazor M, Holcberg G, Zlotnik A, et al. Factors affecting the latency period in patients with preterm premature rupture of membranes. Arch Gynecol Obstet. 2011 Apr 20;283(4):707–10.
• 12 Test G, Levy A, Wiznitzer A, Mazor M, Holcberg G, Zlotnik A, et al. Factors affecting the latency period in patients with preterm premature rupture of membranes. Arch Gynecol Obstet. 2011 Apr 20;283(4):707–10.