Examinando por Materia "Premature rupture of membranes"

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(Universidad Privada Norbert Wiener, 1905-07-04) Bravo Purisaca, Yuliana Vanessa; Zambrano Pacheco, Juana Geraldine; Ayala Mendivil, Ronald Espiritu
Objective: To determine maternal and neonatal complications in active management versus expectant management of premature rupture of membranes (PROM) in pregnant women between 34 and 36 weeks of gestation at the María Auxiliadora National Hospital, from January to December 2010. Design: Descriptive retrospective cross-sectional study. Results: A total of 82.8% (82) of the patients underwent active management, while 17.2% (17) underwent expectant management. Premature placental abruption occurred in 5.1% (5) of cases: 4.9% (4) in the active management group and 5.9% (1) in the expectant management group. Chorioamnionitis occurred in 7.1% (7): 8.5% (7) in active management. Puerperal infection was found in 8.1% (8): 9.8% in active management. No cases of maternal death were recorded. Acute fetal distress was observed in 9.1% (9): 9.8% (8) in active management and 5.9% (1) in expectant management. Low birth weight was found in 42.4% (42): 43.9% (36) in active management and 35.3% in expectant management. Respiratory distress syndrome occurred in 11.1% (11): 12.2% (10) in active management and 5.9% (1) in expectant management. Neonatal asphyxia occurred in 4% (4): 4.9% (4) in active management. Neonatal infection was found in 6.1% (6): 7.3% (6) in active management. Neonatal death occurred in 1% (1): 1.2% (1) in active management. Conclusions: Active management presented more complications compared to expectant management.
Acceso abierto
Factors associated with premature rupture of membranes in pregnant women - 2021
(Universidad Privada Norbert Wiener, 2022-11-11) Gómez Echavigurín, Rosini; Fernández Ledesma, Scarlett Estela
Objective: To analyze and interpret the factors associated with premature rupture of membranes in pregnant women in 2021 through a systematic review. Methodology: A systematic review to analyze and synthesize data. A qualitative approach with an observational and retrospective design. Data was collected from search engines such as PubMed, Dialnet, Scielo, and LILACS. The data review period was from July to September 2021, with no data older than seven years. Keywords for the search: premature rupture of membranes. The technique used was documentary analysis. Results: Of the selected articles, 9 were case-control studies, 7 were reviews, 3 were descriptive, 3 were retrospective, 3 were cohort, 1 was correlational, 1 was comparative, and 1 was prospective. The results show that for premature rupture of membranes, 40% correspond to sociodemographic factors, 3.3% to economic factors, 30% to clinical factors, and 53.3% to gynecological-obstetric factors. Conclusions: The main factors for premature rupture of membranes in pregnant women aged 20 to 35 are: poor nutritional status (low weight); inadequate prenatal care; low income; urinary and cervical-vaginal infections; a history of premature rupture of membranes, abortion, cesarean section; amniocentesis, multiple pregnancies, cervical incompetence, previous use of an intrauterine device, primigravida, hemorrhage, oligohydramnios, short interpregnancy period, and breech presentation.
Acceso abierto
Premature rupture of membranes in preterm labor associated with maternal complications in the Sergio E. Bernales support hospital, Lima, year 2017
(Universidad Privada Norbert Wiener, 2022-11-04) Cruz Rios, Natalia Luz; Tapia Nuñez, Walter Enrique
Objective: To describe the management of a clinical case of premature rupture of membranes in preterm labor associated with maternal complications. Material and methods: An observational, descriptive retrospective study, reviewing the perinatal clinical history of a case of PROM in preterm labor at a public health facility in Lima during February 2017. Results: The predominant symptom was the loss of amniotic fluid for more than 48 hours. Pulmonary maturation was performed with betamethasone. Antepartum antibiotic therapy with intravenous cefazolin was administered. During the first stage of labor, fever, tachycardia, leukocytosis, and fetal tachycardia occurred, which led to the termination of the pregnancy via cesarean section, resulting in a live newborn weighing 2585 g, meconium-stained, with a gestational age of 39 weeks. Broad-spectrum antibiotic therapy with intravenous ceftriaxone + gentamicin + clindamycin was used post-cesarean. During the postoperative period: wound infection, endometritis, and pelvic peritonitis developed, requiring total abdominal hysterectomy. Conclusion: Prolonged PROM in preterm pregnancy is an important risk factor for maternal morbidity due to causing chorioamnionitis, endometritis, pelvic peritonitis, and wound infection; additionally, the maternal evolution was slow, progressing to acute surgical abdomen, leading to total hysterectomy, resulting in a prolonged hospital stay.
Acceso abierto
Sociodemographic and obstetric risk factors for premature rupture of membranes and its perinatal complications.
(Universidad Privada Norbert Wiener, 2021-08-10) Salcedo Ramirez, Janis Nichole; Benites Vidal, Elvira Soledad
Objective: To determine the scientific evidence on sociodemographic and obstetric risk factors for premature rupture of membranes and its perinatal complications. Design: This study was a qualitative systematic review, involving an electronic search of various articles related to sociodemographic and obstetric factors in premature rupture of membranes and its perinatal complications. Study setting: For the development of this systematic review, a methodical compilation of scientific articles published in different academic databases was carried out. Indexed journals and other periodical publications were also used. The study selected various cohort, case-control, and cross-sectional articles published between 2017 and 2021. Subjects: The study included 30 scientific articles. Findings: Premature rupture of membranes and perinatal complications are dependent variables, while obstetric and sociodemographic risk factors are independent variables. Conclusions: Based on the evidence from this systematic review, it can be affirmed that sociodemographic and obstetric factors do indeed influence premature rupture of membranes and its associated perinatal complications.