2016, Number 3
La rotura prematura de membranas pretérmino y su relación con las consecuencias maternas y perinatales
Language: Spanish
References: 20
Page: 40-47
PDF size: 203.52 Kb.
ABSTRACT
Introduction: premature rupture of membranes is considered as a solution of continuity of ovular membranes before the onset of labor. Objective: to analyze maternal and perinatal consequences of rupture of preterm membranes. Method: a descriptive study was conducted with the use of quantitative paradigm in pregnant women treated at the Neonatology Service of “Mariana Grajales” Hospital from 2010 and 2012. Results: 150 preterm births occurred in which the premature rupture of membranes was the fundamental cause; pregnant predominated with more than one birth (58%) and with pregnancies among 34 and 36.6 weeks (64%); it prevailed a latency period of less than 24 hours, which was not associated with the occurrence of maternal complications; the birth weight was the most affected and in its relationship with the latency period is found that, even with a predominance of less than 24 hours in the subgroup of 1 500 to 2 499 g, the most common was the low birth weight; among the perinatal results was found 20 perinatal deaths, with predominance of the late fetal component, with 15 deaths and five early neonatal deaths. Conclusions: premature rupture of preterm membranes appeared in women with a history of previous births, among 34 and 36.6 weeks, which affects indicators such as low birth weight and perinatal mortality.REFERENCES
Lugones Botell M, Ramírez Bermúdez M. Rotura prematura de membranas, aspectos de interés para la atención primaria de salud. Rev Cubana Med Gen Integr [Internet]. 2010 [citado 12 Oct 2013];26(4): 682-693. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252010000400011&lng=eshttp://scielo.sld.cu/pdf/mgi/v26n4/mgi11410.pdf
Müller Ana LL. O estudoDoppler da função cardíaca fetal e da artéria umbilical na rotura prematura das membranas amnióticas pré-termo. Rev Bras Ginecol Obstet [Internet]. 2009 [citado 12 Oct 2013];31(12): 627-627. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032009001200011&lng=es
Carrillo García H, Lucena C, Brito ML, Lara Croes A, Vásquez Estrella A. Rotura prematura de membranas: creatinina en fluido vaginal como marcador diagnóstico. Rev Obstet Ginecol Venez [Internet]. 2006 [citado 12 Oct 2013]; 66(3):[aprox 6 p]. Disponible en: http://www.scielo.org.ve/scielo.php?script=sci_arttext&pid=S0048-77322006000300003
Vázquez Niebla JC, Vázquez Cabrera J, Rodríguez P. Epidemiología de la rotura prematura de membranas en un hospital ginecoobstétrico. Rev Cubana Obstet Ginecol [Internet]. 2003 [citado 16 Oct 2013];29(2):[aprox 6 p]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2003000200003&lng=es
Corrales Gutiérrez A. Rotura prematura de membranas [Internet]. En: Rigol Ricardo O, Santisteban Alba SR, Cutié León E, Cabezas Cruz E, et al. Obstetricia y Ginecología. 3ra ed. La Habana: Ciencias Médicas; 2012. p. 363-366 [citado 25 Mar 2015]. Disponible en: http://www.bvs.sld.cu/libros_texto/ginecologia_obstetricia_3raedicion/cap32.pdf
Camargo RPS, Simões JA, Cecatti JG, Alves VMN, Faro S. Impact of treatment for bacterial vaginosis on prematurity among Brazilian pregnant women: a retrospective cohort study. Sao Paulo Med J [Internet]. 2005 [citado 12 Oct 2013 12];123(3):108-112. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802005000300004&lng=es
Ganfong Elías A, Nieves Andino A, Simonó Bell NM, González Pérez JM, Ferreiro Fernández L, Díaz Pérez MCarmen. Influencia de la rotura prematura de membranas en algunos resultados perinatales. Hospital General Docente “Dr. Agostinho Neto”. Rev Cubana Obstet Ginecol [Internet]. 2007 [citado 16 Oct 2013 ];33(2): Disponible en: http://scielo.sld.cu/pdf/gin/v33n2/gin03207.pdf
Hernández Cabrera J, Hernández Hernández D, García León L, Rendón García S, Dávila Albuerne B, Suárez Ojeda R. Resultados perinatales y maternos de los embarazos en edad madura. Rev Cubana Obstet Ginecol [Internet]. 2003 [citado 19 Oct 2013];29(2):[aprox. 6 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2003000200002&lng=es
Gonçalves DD, Silva LGP, Paula GM, Bonfim O, Lopes Moreira ME, Batista Assumpção AM, et al. Ruptura prematura das membranas amnióticas no pré-termo: fatores associados à displasia broncopulmonar. Rev Bras Ginecol Obstet [Internet]. 2010 [citado 19 Oct 2013];32(10): 497-503. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032010001000005&lng=en
Popowski T, Goffinet F, Maillard F, Schmitz T, Leroy S, Kayem G. Maternal markers fordetecting early-onset neonatal infection and chorioamnionitis in cases of premature rupture of membranes at after 34 weeks of gestation: a two-center prospective study. BMC Pregnancy Childbirth [Internet]. 2011 [citado 11 Nov 2015];11: 26. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21470433
Fehlmann E, Tapia JL, Fernández R, Bancalari A, Fabres J, D’Apremont I, et al. Impacto del síndrome de dificultad respiratoria en recién nacidos de muy bajo peso de nacimiento: estudio multicéntrico sudamericano. Arch Argent Pediatr [Internet]. 2010 [citado 12 Oct 2013];108(5):393-400. Disponible en: http://www.scielo.org.ar/pdf/aap/v108n5/v108n5a04.pdf
Rocha JES, Tomaz ACP, Rocha DB, Bezerra AF, Lopes ALC, Breda AMO, et al. Morbidade materna e morbimortalidade perinatal associada à infecção ascendente na rotura prematura das membranas. Rev Bras Ginecol Obstet [Internet]. 2002 [citado 12 Oct 2013];24(1):15-20. Disponible en: http://www.scielo.br/pdf/rbgo/v24n1/8503.pdf