Can We Determine the Time Elapsed until the Birth in Preterm Premature Rupture of Membranes (Pprom) and Preterm Labor (Pte)? [Preterm Prematür Erken Membran Rüptürü (Pprom) Ve Preterm Eylem (Pte)’De Doğuma Kadar Geçen Süreyi Belirleyebilir Miyiz?]
Efser Oztas, Sibel Ozler, Derya Solmaz, Sibel Saygan, Dilek Uygur, Turhan Caglar, Nuri Danisman
DOI: 10.5455/medscience.2016.05.8406 · Page: 468-83 · 62 Views · 0 Downloads · 0 Citations
Abstract
We aimed to determined; affect of clinical,
laboratory, and ultrasonographic factors the time elapsed until the birth in
midtrimester PPROM and PTE. Total 448 PPROM and PTE patients were conceived
which applicant the Perinatology Department of Zekai Tahir Burak Women's Health
Education and Research Hospital between 2012-2014 years. PPROM group consisted
of 237 patients; PTE group consisted of 211 patients. PPROM and PTE groups were
divided into subgroups as cervical culture positive and negative PPROM and PTE
groups. Risk factors of until the time of birth was determined by multivariate
regression analysis in cervical culture positive PPROM and PTE groups. Cervical
length measured by TVUSG=0,907, 95% Cl = 0,823-0,999 and amniotic fluid index
(or= 0,962, 95% Cl= 0,946-0,980. were determined risk factors of until the time
of birth in cervical culture positive PPROM group. First pregnancy OR= 1,533, 95%Cl=1,054-2,230
and manual cervical dilation OR = 2,802, 95% Cl =1,915-4,099 were determined
risk factors of until the time of birth in cervical culture positive PTE group.
When we look at most of reproducing micro-organism; first Candida 43 (40,95%)
-38 (43,67%) and second E. Coli 38 (36,19%)- 33 (37,93%), respectively in PPROM
and PTE group. Reproducing micro-organism in cervical culture was not different
between the groups. Servical lenght and
AMI have been affected the the time of birth in PPROM group. Manuel servical
space and first pregnancy have been affected the time of birth in PTE group.
Keywords : Preterm premature rupture of membranes; preterm labor; cervical culture; ultrasonography