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Dobrokhotova Iu.É.

Kafedra akusherstva i ginekologii Moskovskogo fakul'teta Rossiĭskogo gosudarstvennogo meditsinskogo universiteta

Olenev A.S.

Perinatal Center, Branch, City Clinical Hospital Twenty-Four, Moscow Healthcare Department, Moscow, Russia

Kuznetsov P.A.

Kafedra akusherstva i ginekologii lechebnogo fakul'teta Rossiĭskogo natsional'nogo issledovatel'skogo meditsinskogo universiteta im. N.I. Pirogova

Dzhokhadze L.S.

Kafedra akusherstva i ginekologii lechebnogo fakul'teta Rossiĭskogo gosudarstvennogo meditsinskogo universiteta

Konstantinova K.I.

Department of Obstetrics and Gynecology, Faculty of General Medicine, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia, Moscow, Russia

A case of outpatient prolongation of pregnancy in premature rupture of membranes before fetal viability

Authors:

Dobrokhotova Iu.É., Olenev A.S., Kuznetsov P.A., Dzhokhadze L.S., Konstantinova K.I.

More about the authors

Journal: Russian Bulletin of Obstetrician-Gynecologist. 2017;17(4): 59‑61

DOI: 10.17116/rosakush201717459-61

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Table of contents

A CASE OF OUTPATIENT PROLONGATION OF PREGNANCY IN PREMATURE RUPTURE OF MEMBRANES BEFORE FETAL VIABILITY
A CASE OF OUTPATIENT PROLONGATION OF PREGNANCY IN PREMATURE RUPTURE OF MEMBRANES BEFORE FETAL VIABILITY

To cite this article:

Dobrokhotova IuÉ, Olenev AS, Kuznetsov PA, Dzhokhadze LS, Konstantinova KI. A case of outpatient prolongation of pregnancy in premature rupture of membranes before fetal viability. Russian Bulletin of Obstetrician-Gynecologist. 2017;17(4):59‑61. (In Russ.)
https://doi.org/10.17116/rosakush201717459-61

Подписка 2025-2 (Russian Bulletin of Obstetrician-Gynecologist)
 
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The management of pregnant women with premature rupture of membranes does not lose its relevance since one third of all preterm births begin just with amniorrhea. Despite the fact that the management tactics is presented in normative documents, the world literature describes cases of outpatient management. This paper gives an account of a case of successful completion of pregnancy due to outpatient management, which is an allowable variant during careful follow-up and examination if the status of a pregnant woman and her fetus is stable, allowing the prevention of severe infectious complications associated with hospital flora contamination.

Keywords:

premature rupture of membranes
preterm birth
outpatient management

Authors:

Dobrokhotova Iu.É.

Kafedra akusherstva i ginekologii Moskovskogo fakul'teta Rossiĭskogo gosudarstvennogo meditsinskogo universiteta

Olenev A.S.

Perinatal Center, Branch, City Clinical Hospital Twenty-Four, Moscow Healthcare Department, Moscow, Russia

Kuznetsov P.A.

Kafedra akusherstva i ginekologii lechebnogo fakul'teta Rossiĭskogo natsional'nogo issledovatel'skogo meditsinskogo universiteta im. N.I. Pirogova

Dzhokhadze L.S.

Kafedra akusherstva i ginekologii lechebnogo fakul'teta Rossiĭskogo gosudarstvennogo meditsinskogo universiteta

Konstantinova K.I.

Department of Obstetrics and Gynecology, Faculty of General Medicine, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia, Moscow, Russia

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  3. Goldenberg RL, Culhane JF, Iams JD, Romero R. Epidemiology and causes of preterm birth. Lancet. 2008;371:9606:75-84. https://doi.org/10.1016/s0140-6736(08)60074-4
  4. Buhimschi CS, Buhimschi IA, Norwitz ER, Sfakianaki AK, Hamar B, Copel JA, Saade GR, Weiner CP. Sonographic myometrial thickness predicts the latency interval of women with preterm premature rupture of the membranes and oligohydramnios. Am J Obstet Gynecol. 2005;193:762-770. https://doi.org/10.1016/j.ajog.2005.01.053
  5. Han YW, Shen T, Chung P, Buhimschi IA, Buhimschi CS. Uncultivated Bacteria as Etiologic Agents of Intra-Amniotic Inflammation Leading to Preterm Birth. J Clin Microbiol. 2009;47:1:38-47. https://doi.org/10.1128/jcm.01206-08
  6. Metodicheskoe pismo Minesterstva zdravooxranenia i socialnogo razvitia RF 16 december 2011. №15-4/10/2-1270. Pregdevremennye rody. Eds. Sukhikh GT, Shirokova VI. 2011. (In Russ.).
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  8. Carlan SJ, O’Brien WF, Parsons MT, Lense JJ. Preterm premature rupture of membranes: a randomized study of home vs hospital management. Obstet Gynecol. 1993;81:61-64.
  9. Abou El Senoun G, Dowswell T, Mousa HA. Planned home versus hospital care for preterm prelabour rupture of the membranes (PPROM) prior to 37 weeks’ gestation. Cochrane Database of Systematic Reviews. 2014;4:CD008053. https://doi.org/10.1002/14651858.CD008053.pub3
  10. Kozlov PV, Makarov OV, Volodin NN. Premature pregnancy complicated by preterm rupture of membranes. Moscow: MAI-print. 2012;133. (In Russ.).
  11. Akusherstvo: Natsionalnoe rukovodstvo. [Obstetrics: National guide]. Eds. Savel’eva GM, Sukhikh GT, Serov VN, Radzinskii VE. Moscow: GEOTAR-Media. 2015;1088. (In Russ.).
  12. Dotters-Katz SK, Panzer ABA, Grace MR, Smid MC, Keku J, Adeolu BS, Vladutiu CJ, Boggess KA, Manuck TA Maternal Morbidity After Previable Prelabor Rupture of Membranes. Obstet Gynecol. 2017;129:1:101-106. https://doi.org/10.1097/AOG.0000000000001803

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