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Premature Rupture of Membranes and Oxidative Stress

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Studies on Women's Health

Abstract

Premature rupture of membranes (PROM) is rupture of the chorioamniotic membranes before the onset of labor. The chorioamniotic sac requires a balance between collagen formation and enzymatic collagenolytic activity expressed in the fetal membrane. The amniotic membrane is a complex tissue in which collagen is fundamental for mechanical integrity and stress tolerance. Membrane rupture is associated with biochemical disturbances between collagen produced by fibroblasts and fetal membranes. An association exists between PROM and oxidative stress (OS) in pregnancy. Reactive oxygen species (ROS), which are unstable molecules produced in the body, may be the reason for the collagen damage. OS produced by augmented ROS production debilitates the collagen’s elasticity and strength, leading to PROM. Although antioxidants act as defense agents against oxidation, they have not been found to be protective against ROS and subsequent OS damage in PROM.

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Correspondence to Ashok Agarwal .

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Aponte, A., Agarwal, A. (2013). Premature Rupture of Membranes and Oxidative Stress. In: Agarwal, A., Aziz, N., Rizk, B. (eds) Studies on Women's Health. Oxidative Stress in Applied Basic Research and Clinical Practice. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-041-0_8

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