Spontaneous version following preterm premature rupture of membranes

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 crit...

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Bibliographic Details
Published inAmerican journal of perinatology Vol. 23; no. 4; p. 201
Main Authors Fonseca, Linda, Monga, Manju
Format Journal Article
LanguageEnglish
Published United States 01.05.2006
Subjects
Adolescent
Adult
Amniotic Fluid
Cesarean Section - statistics & numerical data
Female
Fetal Membranes, Premature Rupture - epidemiology
Humans
Infant, Newborn
Labor Presentation
Middle Aged
Pregnancy
Retrospective Studies
Version, Fetal - statistics & numerical data
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Summary: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.
ISSN:0735-1631
DOI:10.1055/s-2006-934090