Midtrimester premature rupture of the membranes.
Midtrimester premature rupture of the membranes is an uncommon adverse complication of pregnancy with an occurrence of approximately 0.65%. Significant perinatal and maternal morbidity includes pulmonary hypoplasia, restriction deformities, and sequelae of prematurity as well as maternal chorioamnionitis and endometritis. Moreover, 31% of survivors are affected by long-term complications such as chronic lung disease, neurological and developmental abnormalities. Fetal survival is evident with increasing latency and good residual amniotic fluid (largest vertical pocket > or = 2 cm). In this article, we review the relevant literature regarding prognosis, counseling, and management of the patient with membrane rupture in the midtrimester.
Schucker
J L
JL
Department of Obstetrics and Gynecology, University of Tennessee, Memphis, USA.
Mercer
B M
BM
D005260:Female; D005322:Premature Rupture of Fetal Membranes / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D009017:Morbidity; D011247:Pregnancy; D011256:Pregnancy Outcome; D011262:Pregnancy Trimester, Second; D011379:Prognosis