Evaluation of perinatal outcomes in pregnant women with preterm premature rupture of membranes

Detalhes bibliográficos
Autor(a) principal: Souza,Alex Sandro Rolland
Data de Publicação: 2016
Outros Autores: Patriota,Adriane Farias, Guerra,Gláucia Virgínia de Queiroz Lins, Melo,Brena Carvalho Pinto de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista da Associação Médica Brasileira (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302016000300269
Resumo: SUMMARY Objective: To determine the association between amniotic fluid index (AFI) and perinatal outcomes in preterm premature rupture of membranes (PPROM). Method: A retrospective cohort study was conducted between 2008 and 2012. 86 pregnant women were included, with a diagnosis of PPROM and gestational age from 24 to 35 weeks. Women who presented hypertensive disorders, diabetes, fetuses with birth defects and infection at admission were excluded. To determine the association between AFI and perinatal outcomes, chi-square and Fisher’s exact test were used if necessary, as well as risk ratio (RR) and 95% confidence intervals (95CI). Correlation between AFI and perinatal outcomes was determined by using simple linear regression, and AFI progression during pregnancy was analyzed by Z-test. Results: When comparing newborns presenting ultrasound with AFI<5cm and AFI>5cm, there was a higher frequency of perinatal mortality when the AFI was lower than 5 cm. However, when the oligohydramnios was diagnosed as severe (AFI<3cm), there was a higher frequency of Apgar scores less than seven at 1 minute, neonatal sepsis and early neonatal mortality compared to those presenting AFI>3cm. There was a positive correlation between AFI and gestational age at delivery, birth weight and Apgar scores at minutes 1 and 5. There was also a decrease in amniotic fluid volume with increased gestational age. Conclusion: The presence of severe oligohydramnios after PPROM contributed to a higher frequency of perinatal complications and death.
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spelling Evaluation of perinatal outcomes in pregnant women with preterm premature rupture of membranesamniotic fluidpremature rupture of fetal membranesneonatal intensive care unitsSUMMARY Objective: To determine the association between amniotic fluid index (AFI) and perinatal outcomes in preterm premature rupture of membranes (PPROM). Method: A retrospective cohort study was conducted between 2008 and 2012. 86 pregnant women were included, with a diagnosis of PPROM and gestational age from 24 to 35 weeks. Women who presented hypertensive disorders, diabetes, fetuses with birth defects and infection at admission were excluded. To determine the association between AFI and perinatal outcomes, chi-square and Fisher’s exact test were used if necessary, as well as risk ratio (RR) and 95% confidence intervals (95CI). Correlation between AFI and perinatal outcomes was determined by using simple linear regression, and AFI progression during pregnancy was analyzed by Z-test. Results: When comparing newborns presenting ultrasound with AFI<5cm and AFI>5cm, there was a higher frequency of perinatal mortality when the AFI was lower than 5 cm. However, when the oligohydramnios was diagnosed as severe (AFI<3cm), there was a higher frequency of Apgar scores less than seven at 1 minute, neonatal sepsis and early neonatal mortality compared to those presenting AFI>3cm. There was a positive correlation between AFI and gestational age at delivery, birth weight and Apgar scores at minutes 1 and 5. There was also a decrease in amniotic fluid volume with increased gestational age. Conclusion: The presence of severe oligohydramnios after PPROM contributed to a higher frequency of perinatal complications and death.Associação Médica Brasileira2016-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302016000300269Revista da Associação Médica Brasileira v.62 n.3 2016reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.62.03.269info:eu-repo/semantics/openAccessSouza,Alex Sandro RollandPatriota,Adriane FariasGuerra,Gláucia Virgínia de Queiroz LinsMelo,Brena Carvalho Pinto deeng2016-06-09T00:00:00Zoai:scielo:S0104-42302016000300269Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2016-06-09T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false
dc.title.none.fl_str_mv Evaluation of perinatal outcomes in pregnant women with preterm premature rupture of membranes
title Evaluation of perinatal outcomes in pregnant women with preterm premature rupture of membranes
spellingShingle Evaluation of perinatal outcomes in pregnant women with preterm premature rupture of membranes
Souza,Alex Sandro Rolland
amniotic fluid
premature rupture of fetal membranes
neonatal intensive care units
title_short Evaluation of perinatal outcomes in pregnant women with preterm premature rupture of membranes
title_full Evaluation of perinatal outcomes in pregnant women with preterm premature rupture of membranes
title_fullStr Evaluation of perinatal outcomes in pregnant women with preterm premature rupture of membranes
title_full_unstemmed Evaluation of perinatal outcomes in pregnant women with preterm premature rupture of membranes
title_sort Evaluation of perinatal outcomes in pregnant women with preterm premature rupture of membranes
author Souza,Alex Sandro Rolland
author_facet Souza,Alex Sandro Rolland
Patriota,Adriane Farias
Guerra,Gláucia Virgínia de Queiroz Lins
Melo,Brena Carvalho Pinto de
author_role author
author2 Patriota,Adriane Farias
Guerra,Gláucia Virgínia de Queiroz Lins
Melo,Brena Carvalho Pinto de
author2_role author
author
author
dc.contributor.author.fl_str_mv Souza,Alex Sandro Rolland
Patriota,Adriane Farias
Guerra,Gláucia Virgínia de Queiroz Lins
Melo,Brena Carvalho Pinto de
dc.subject.por.fl_str_mv amniotic fluid
premature rupture of fetal membranes
neonatal intensive care units
topic amniotic fluid
premature rupture of fetal membranes
neonatal intensive care units
description SUMMARY Objective: To determine the association between amniotic fluid index (AFI) and perinatal outcomes in preterm premature rupture of membranes (PPROM). Method: A retrospective cohort study was conducted between 2008 and 2012. 86 pregnant women were included, with a diagnosis of PPROM and gestational age from 24 to 35 weeks. Women who presented hypertensive disorders, diabetes, fetuses with birth defects and infection at admission were excluded. To determine the association between AFI and perinatal outcomes, chi-square and Fisher’s exact test were used if necessary, as well as risk ratio (RR) and 95% confidence intervals (95CI). Correlation between AFI and perinatal outcomes was determined by using simple linear regression, and AFI progression during pregnancy was analyzed by Z-test. Results: When comparing newborns presenting ultrasound with AFI<5cm and AFI>5cm, there was a higher frequency of perinatal mortality when the AFI was lower than 5 cm. However, when the oligohydramnios was diagnosed as severe (AFI<3cm), there was a higher frequency of Apgar scores less than seven at 1 minute, neonatal sepsis and early neonatal mortality compared to those presenting AFI>3cm. There was a positive correlation between AFI and gestational age at delivery, birth weight and Apgar scores at minutes 1 and 5. There was also a decrease in amniotic fluid volume with increased gestational age. Conclusion: The presence of severe oligohydramnios after PPROM contributed to a higher frequency of perinatal complications and death.
publishDate 2016
dc.date.none.fl_str_mv 2016-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302016000300269
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1806-9282.62.03.269
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dc.publisher.none.fl_str_mv Associação Médica Brasileira
publisher.none.fl_str_mv Associação Médica Brasileira
dc.source.none.fl_str_mv Revista da Associação Médica Brasileira v.62 n.3 2016
reponame:Revista da Associação Médica Brasileira (Online)
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repository.name.fl_str_mv Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)
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