[Premature rupture of the membranes. Apropos of 169 cases selected from the maternity ward of Boucicaut Hospital].
The authors present a retrospective study of 169 cases of premature rupture of the membranes. The diagnosis was made before there was any marked flow of liquor and before labour had started. The authors show that the neonatal infection rate was 12.42%. They first defined their criteria for diagnosing neonatal infection and show what risks are involved because of premature rupture of the membranes. It would appear that these are more likely to occur when there is urinary tract infection and the mother has a fever. On the other hand using prophylactic antibiotic treatment does not seem to be effective at preventing these infections. There was no case of neonatal infection when the liquor was sterile and bacteriological observation of this does seem to be important, whatever the cause. Table V shows the management that should be undertaken when premature rupture of the membranes occurs at different stages of the pregnancy in view of the findings from this study. Delivery should not be undertaken before the 32nd week but it can be brought about between the 32nd and 34th week when the liquor is infected. No tocolytic agent was used after the 34th week. In each of these cases examination of the liquor gives an indication as to which antibiotic should be used against the bacteria that had been found.
D005260:Female; D005322:Premature Rupture of Fetal Membranes / Q000453:epidemiology* / Q000628:therapy; D006801:Humans; D007231:Infant, Newborn; D010297:Paris; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D012189:Retrospective Studies; D012306:Risk
La rupture prématurée des membranes. A propos de 169 observations relevées à la Maternité de l'Hôpital Boucicaut.