PRELABOR RUPTURE OF MEMBRANES AT TERM: PROLONGED ALIQUID PERIOD (MATERNAL AND FETAL CONSEQUENCES)
Keywords:early rupture of fetal membranes, aliquid period, maternal consequences
Prelabor rupture of membrane (PRM) is defined as the spontaneous leakage of amniotic fluid before the onset of the labor. This definition is sub-categorized into preterm (when gestational age is less than 37 weeks) and at term (when gestational age is 37 weeks or older). This diagnosis excludes women whohave fetal membrane rupture (amniorexia) after the onset of normal uterine contractions, in accordance with spontaneous labor. PRM occurs in about 15%
of pregnancies and, of these, about 80% occur at term. The purpose of this paper is the multifactorial analysis of maternal and fetal outcomes, depending on the duration of the aliquid period (AP), but also highlighting the risk factors during pregnancy that contributed to the PRM before the onset of the labor.
The alichidian period of more than 24 hours has a negative influence on postpartum maternal health, thus 3.3% women presented hyperthermia in group I, 10.53% women in group II and 16.00% in group III. Endometritis is found in 8.00% of the group with AP longer than 24 hours and in 2.63% of the group with PA between 18-24 hours. The presence of the leukocytosis is confirmed in 17.58% of group I, in 55.26% of group II and in 76.00% of group III. Neonatal complications are also recorded in the highest proportion at an aliquid period of more than 24 hours, thus, fetal hypoxia is found in 12.00% cases in group III, in 5.26% in group II and in 1.10% in group I. The new-borns were appreciated by 6-5 points, mostly in group III, where are 3 new-borns, followed by group II with 2 new-borns and group I with 1 new-born. Leucocytosis in neonates is found in group I in 15.38% (14) cases, in group II – 42.1% (16) cases,
and in group III – 52.00% (13) cases.