We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
METHODS OF DIAGNOSIS AND TREATMENT IN PREMATURE RUPTURE OF MEMBRANES.
- Authors
Bolotă, Mariana; Stoenescu, Marcel; Păvăleanu, Maricica
- Abstract
The objectives of the research were the analysis of the markers of the normal development of the embryo / fetus and the ultrasound data that suggest or diagnose the failure of the pregnancy evolution and the analysis of the ultrasound markers of the ectopic pregnancy (EP). We performed a retrospective analysis of 165 cases of intrauterine pregnancy with imminent abortion and 3 EP by endovaginal ultrasound (EEV) and we analysed a quantitative dynamic assessment of ß-hCG over a period of 2 years, patients admitted to the Second Clinic Maternity "Cuza-Voda" Iaşi, Romania. Ultrasound markers of pregnancy progression were embryonic / fetal rhythm (bradycardia <85 beats / minute at gestational age> 9SA), presence / absence of the gestational body, ratio between gestational sac diameter (SG) and size of conception product, shape and the size of the vitelline vesicle and the presence of a subcorial hematoma. The measurement of the resistance index of subendometric vascularization and that around the gestational body were indicators of imminent abortion in case of high values. Intraamniotic application of "amniopatch" may represent a possible successful treatment for premature spontaneous rupture of membranes. The risk increases when early amniocentesis is performed before 15 weeks of gestation and when the needle is inserted away from the placenta. Significant loss of amniotic fluid compromises pregnancy. Conservative management with bed rest seems to work. When amniotic discharge persists for more than two weeks, there is a small spontaneous resolution.
- Subjects
ROMANIA; ECTOPIC pregnancy; AMNIOTIC liquid; DIAGNOSIS methods; BED rest; ABORTION; PREGNANCY
- Publication
International Journal of Medical Dentistry, 2020, Vol 24, Issue 2, p297
- ISSN
2066-6063
- Publication type
Article