title: Spontaneous version following preterm premature rupture of membranes.
abstract: Our objective was to determine the rate of spontaneous version following preterm premature rupture of membranes (PPROM). Medical charts over a 4-year period were reviewed. All women with PPROM and singleton gestation between 24 and 34 weeks gestation were included; 65 patients met the inclusion criteria. By ultrasound on admission, 48 were cephalic 16 were breech, and one was transverse lie. Mean amniotic fluid index on admission was 5.1 +/- 4.8 cm (standard deviation) and was not associated with fetal presentation at delivery. Spontaneous version from cephalic presentation at admission to noncephalic presentation at delivery occurred in one pregnancy (2.2%). Spontaneous version from noncephalic presentation at admission to cephalic presentation at delivery occurred in three pregnancies (17.6%; p = 0.05). Among women with noncephalic presentation at delivery (n = 15), 73.3% had a cesarean, compared with 23.4% of those with cephalic presentation at delivery (p < 0.05). Spontaneous version, particularly from cephalic to noncephalic presentation, is unlikely following PPROM.
authors.affiliation: Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Texas-Houston Health Science Center, Houston, Texas 77030, USA.
authors.forename: Linda
authors.initials: L
authors.lastname: Fonseca
authors.forename: Manju
authors.initials: M
authors.lastname: Monga
mesh_terms: D000293:Adolescent; D000328:Adult; D000653:Amniotic Fluid; D002585:Cesarean Section / Q000706:statistics & numerical data; D005260:Female; D005322:Premature Rupture of Fetal Membranes / Q000453:epidemiology*; D006801:Humans; D007231:Infant, Newborn; D007746:Labor Presentation; D008875:Middle Aged; D011247:Pregnancy; D012189:Retrospective Studies; D014710:Version, Fetal / Q000706:statistics & numerical data*