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Archives of Gynecology and Obstetrics

, Volume 246, Supplement 1, pp S23–S33 | Cite as

Das klinische Management des vorzeitigen Blasensprunges

  • Th. Gyr
  • H. Schneider
Erstes Hauptthema/Premier Thême Principal Perinatale Infektionen

Zusammenfassung

Das diagnostische und therapeutische Vorgehen von 98 Geburtshelfern in der Praxis bzw. an Frauenkliniken in der Schweiz beim vorzeitigen Blasensprung wurde anhand eines Fragebogens erfaßt. Die Ergebnisse werden mit Empfehlungen aus der Literatur verglichen. Diagnostische Maßnahmen, intrauterine Verlegung, Lungenreifungsinduktion, Tokolyse und Antibiotikagabe werden diskutiert.

Key words

Fetal membranes Premature rupture Diagnosis Treatment 

Literatur

  1. Amon E, Lewis SV, Sibai BM, Villar MA, Arheart KL (1988) Ampicillin prophylaxis in preterm premature rupture of the membranes: a prospective randomized study. Am J Obstet Gynecol 159:539–543Google Scholar
  2. Bejar R, Wozniak P, Allard M, Benirschke K, Vaucher Y, Coen, R, Berry C, Schragg P, Villegas I, Resnik R (1988) Antenatal origin of neurologic damage in newborn infants. Am J Obstet Gynecol 159:357–363Google Scholar
  3. Blackmon LR, Alger LS, Crenshaw C (1986) Fetal and neonatal outcome associated with premature rupture of the membranes. Clin Obstet Gynecol 29:779–815Google Scholar
  4. Bourgeois FJ, Harbert GM, Andersen WA, Thiagarajah S, Duffer J, Hendrickx K (1988) Early vs. late tocolytic treatment for preterm premature membrane rupture. Am J Obstet Gynecol 159:742–748Google Scholar
  5. Brame RG, MacKenna J (1983) Vaginal pool phospholipids in the management of premature rupture of membranes. Am J Obstet Gynecol 145:992–1000Google Scholar
  6. Bustos R, Kulovich MV, Gluck L (1979) Significance of phosphatidyl glycerol in amniotic fluid in complicated pregnancies. Am J Obstet Gynecol 133:899–903Google Scholar
  7. Castillo RA, Lawrence DD, Arthur M, Searle N, Metheny WP, Ruedrich DA (1989) The preterm nonstress test: effects of gestational age and length of study. Am J Obstet Gynecol 160:172–175Google Scholar
  8. Capeless EL, Mead PM (1987) Management of preterm premature rupture of membranes: lack of a national consensus. Am J Obstet Gynecol 157:11–12Google Scholar
  9. Cohen W, Fenci MDM, Tulchinsky D (1976) Amniotic fluid cortisol after premature rupture of membranes. J Pediatr 88:1007–1009Google Scholar
  10. Curet LB, Rao AV, Zuachman RD, Morrison JC, Burkett G, Poole K, Bauer C (1984) Association between ruptured membranes, tocolytic therapy, and respiratory distress syndrome. Am J Obstet Gynecol 148:263–268Google Scholar
  11. Daikoku N, Kaltreider F, Johnson T (1981) Premature rupture of membranes and preterm labor; neonatal infections and perinatal mortality risks. Obstet Gynecol 58:417–425Google Scholar
  12. Dudenhausen JW, Langner K, Sömnez M (1987) Elastase der polymorphkernigen Granulozyten. Geburtsh Frauenheilkd 47:597–600Google Scholar
  13. Feld SM, Harrigan JT (1987) Vaginal gram stain as an immediate detector of group B streptococci in selected obstetric patients. Am J Obstet Gynecol 156:446–448Google Scholar
  14. Fischbach F, Kolben M, Thurmayr R, Hafter R, Sedlaczek E, Ziegelmeier M, Preisl G, Weindler J, Graeff H (1988) Genitale Infektionen und Schwangerschaftsverlauf: Eine prospektive Studie. Geburtsh Frauenheilkd 48:469–478Google Scholar
  15. Fisk NM, Fysh J, Child AG, Gatenby PA, Jeffery H, Bradfield AH (1987) Is C-reactive protein really useful in preterm premature rupture of the membranes. Br J Obstet Gynecol 94:1159–1164Google Scholar
  16. Garite TJ, Freeman RK, Linzey EM, Bealy PS, Dorchester WL (1981) Prospective randomized study of corticosteroids in the management of premature rupture of the membranes and the premature gestation. Am J Obstet Gynecol 141:508–515Google Scholar
  17. Gibbs RS, Dinsmoor MJ, Newton ER, Ramamurthy RS (1988) A randomized trial of intrapartum vs. immediate postpartum treatment of women with intra-amniotic infection. Obstet Gynecol 72:823–828Google Scholar
  18. Goldstein I, Romero R, Merrill S, Wan M, O'Connor TZ, Mazor M, Hobbins JC (1988) Fetal body and breathing movements as predictors of intra-amniotic infection in preterm premature rupture of membranes. Am J Obstet Gynecol 159:363–368Google Scholar
  19. Hardt NS, Kostenbauder M, Ogburn M, Behnke M, Resnick M, Cruz A (1985) Influence of chorioamnionitis on long-term prognosis in low birh weight infants. Obstet Gynecol 65:5–10Google Scholar
  20. Iams JD, Talbert ML, Barrows H, Sachs L (1985) Management of preterm prematurely ruptured membranes: a prospective randomized comparison of observation versus use of steroids and timed delivery. Am J Obstet Gynecol 151:32–38Google Scholar
  21. Kaltreider DF, Kohl S (1980) Epidemiology of preterm delivery. Clin Obstet Gynecol 23:17–31Google Scholar
  22. Kollee LAA, Verloove-Vanhorick PP, Verwey RA, Brand R, Ruys JH (1988) Maternal and neonatal transport: Results of a national collaborative survey of preterm and very low birth weight infants in the Netherland. Obstet Gynecol 72:729–732Google Scholar
  23. McGregor JA (1988) Prevention of preterm birth: new initiatives based on microbialhost interactions. Obstet Gynecol Survey 43:1–14Google Scholar
  24. Morales WJ, Angel JL, O'Brian WF, Knuppel RA, Finazzo M (1988) A randomized study of antibiotic therapy in idiopathic preterm labor. Obstet Gynecol 72:829–833Google Scholar
  25. Munson LA, Graham A, Valenzuela GI (1985) Is there a need for digital examination in patients with spontaneous rupture of the membranes? Am J Obstet Gynecol 153:562–563Google Scholar
  26. Naeye RL (1977) Causes of perinatal mortality in the US: collaborative perinatal project. JAMA 238:228–229Google Scholar
  27. Nelson LH, Meis PJ, Hatijs CG, Ernest JM, Dillard M, Schey HM (1985) Premature rupture of membranes: a prospective randomized evaluation of steroids, latent phase, and exspectant management. Obstet Gynecol 66:55–58Google Scholar
  28. Pepys MB (1981) C-reactive protein 50 years on. Lancet I:653–656Google Scholar
  29. Richardson CJ, Pomerance JJ, Cunningham MD, Gluck L (1974) Acceleration of fetal lung maturation following prolonged rupture of the membranes. Am J Obstet Gynecol 118:1115–1118Google Scholar
  30. Romero R, Quintero R, Oyarzun E, Wu YK, Sabo V, Mazor M, Hobbins JC (1988) Intraamniotic infection and the onset of labor in preterm premature rupture of the membranes. Am J Obstet Gynecol 159:661–666Google Scholar
  31. Sandy EA, Blumenfeld ML, Iams JD (1988) Gram stain in the rapid determination of maternal colonization with group B beta-streptococcus. Obstet Gynecol 71:796–800Google Scholar
  32. Schmidt PL, Sims ME, Strassner HT, Paul RH, Mueller E, McCart D (1984) Effect of antepartum glucocorticoid administration upon neonatal respiratory distress syndrome and perinatal infection. Am J Obstet Gynecol 148:178–186Google Scholar
  33. Schutte MF, Treffers PE, Kloostermann GJ, Seopatmi S (1983) Managent of premature rupture of membranes: the risk of vaginal examination to the infant. Am J Obstet Gynecol 146:395–400Google Scholar
  34. Shaver DC, Spinnato JA, Whybrew D, Williams WK, Anderson GD (1987) Comparison of phospholipids in vaginal and amniocentesis specimens, of patients with premature rupture of membranes. Am J Obstet Gynecol 156:454–457Google Scholar
  35. Vintzileos AM, Campbell WA, Nochimson DJ, Weinbaum PJ (1985) Degree of oligohydramnions and pregnancy outcome in patients with premature rupture of the membranes Obstet Gynecol 66:162–167Google Scholar
  36. Vintzileos AM, Campbell WA, Nochimson DJ, Weinbaum PJ, Escoto DT, Mirochnick MH (1986) Qualitative amniotic fluid volume versus amniocentesis in predicting infection in preterm premature rupture of the membranes. Obstet Gynecol 67:579–583Google Scholar
  37. Yeung CY (1982) Effects of prolonged rupture of membranes on the development of respiratory distress syndrome in twin pregnancy. Austr Pediatr J 18:197–199Google Scholar

Copyright information

© Springer-Verlag 1989

Authors and Affiliations

  • Th. Gyr
    • 1
  • H. Schneider
    • 1
  1. 1.Universitätsfrauenklinik BernBernSchweiz

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