Management of preterm premature rupture of membrane in a high-risk pregnancy

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dc.contributor.authorBhardwaj, Avnien_US
dc.contributor.authorSimpatwar, Sonamen_US
dc.contributor.authorAfreen, Munazzaen_US
dc.contributor.authorKumari, Beenaen_US
dc.date.accessioned2024-09-24T09:07:10Z
dc.date.available2024-09-24T09:07:10Z
dc.date.issued2024-02
dc.description.abstractPreterm premature rupture of membranes (PPROM) usually has a multi factorial aetiology that is often unknown, although the most frequently reported cause is infection, others could be cervical insufficiency, over distention of uterine cavity, previous history of preterm labor, systemic inflammatory disease etc. This case report documented a rare incidence of preterm premature rupture of membranes, in a 35-year-old female with past history of 8 spontaneous abortions and 1 ectopic pregnancy. Patient had an IVF conception, amenorrheic for 7 months and 2 weeks, and came with a complaint of white discharge per vaginum. On per speculum examination, cervical os was found dilated. The patient was managed conservatively with protein and progesterone support along with prophylactic tocolytics and antibiotics, till early signs of chorioamnionitis were noticed. The decision of induction of labour and eventually preterm premature rupture of membranes lead to emergency cesarean section. Challenges faced in managing this high risk pregnancy are discussed, emphasizing the need of close monitoring and tailoring management in similar circumstances.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Dr. BAM Hospital, Mumbai, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Dr. BAM Hospital, Mumbai, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Dr. BAM Hospital, Mumbai, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Dr. BAM Hospital, Mumbai, Maharashtra, Indiaen_US
dc.identifier.citationBhardwaj Avni, Simpatwar Sonam, Afreen Munazza, Kumari Beena. Management of preterm premature rupture of membrane in a high-risk pregnancy . International Journal of Reproduction, Contraception, Obstetrics and Gynecology . 2024 Feb; 13(2): 453-456en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/232558
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber2en_US
dc.relation.volume13en_US
dc.source.urihttps://doi.org/10.18203/2320-1770.ijrcog20240154en_US
dc.subjectPreterm premature rupture of membranesen_US
dc.subjectCervical insufficiencyen_US
dc.subjectChorioamnionitisen_US
dc.titleManagement of preterm premature rupture of membrane in a high-risk pregnancyen_US
dc.typeJournal Articleen_US
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