Abstract
Objective
To verify the hypothesis that a correlation exists between myometrial thickness (MT) and latency interval (LI) in patients with preterm premature rupture of membrane (PPROM).
Method
Myometrial thickness was measured ultrasonographically at the mid-anterior (MA), fundal, and posterior parts of the uterus of pregnant women in the following groups: PPROM [n = 45, mean (range), gestational age (GA): 28.6 weeks (w) (24.0–33.0 w)], preterm nonlabor control group (P-CTR) [n = 20, GA: 29.5 w (25.0–32.0 w)] and term nonlabor control (T-CTR) [n = 27, GA: 38.4 w (37.0–41.0 w)].
Results
There was a positive correlation between LI and fundal MT (r = 0.34, P = 0.02), mid-MT (r = 0.47, P = 0.001) and LUS (r = 0.74, P = 0.001). The results were similar in the group of <30 w of GA, but in the group of ≥30 w of GA, there was no association. The LUS MT has more area under the ROC curve than MA MT and fundal MT for prediction of LI of ≤8 days.
Conclusion
Significant positive correlation between LI and MT in patients with PPROM may result in a better decision for taking care of infants of preterm birth.
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References
French JL, Mc Gregor JA (1996) The pathology of premature rupture of membranes. Semin Perinatol 20(5):344–368
Garite TJ (1985) Premature ruptures of the membranes the enigma of the obstetrician. Am J Obstet Gynecol 151:1001–1005
Berkowitz GS, Papiernik E (1993) Epidemiology of preterm birth. Epidemiol Rev 15:414–443
Daikoku NH, Kaltreider DF, Johnson TR Jr., Johnson JW, Simmons MA (1981) Premature rupture of membranes and preterm labor: neonatal infection and perinatal mortality risks. Obstet Gynecol 58:417–425
Weitz BW (2001) Premature rupture of the fetal membranes. MCN 26(2):86–93
Iams JD, Goldenberg RL, Meis PJ, Mercer BM, Moawad A, Das A et al (1996) The length of the cervix and the risk of spontaneous premature delivery. National Institute of Child Health and Human Development Maternal Fetal Medicine Unit Network. N Engl J Med 334:567–572
Owen J, Iams JD, Hauth JC (2003) Vaginal sonography and cervical incompetence. Am J Obstet Gynecol 188:586–596
Yost NP, Owen J, Berghella V, Macpherson C, Swain M, Dildy GA et al (2004) Second trimester cervical sonography: features other than cervical length to predict spontaneous preterm birth. Obstet Gynecol 103:457–462
Iams JD (2003) Prediction and early detection of preterm labor. Obstet Gynecol 101:402–412
Lewis DF, Major CA, Towers CV, Asrat T, Harding JA, Garite TJ (1992) Effects of digital examinations on latency period in preterm premature rupture of membrane. Obstset Gynecol 80:630–634
Lockwood CJ (1995) The diagnosis of preterm labor and the prediction of preterm delivery. Clin Obstet Gynecol 38:675–687
Buhimschi CS, Buhimschi IA, Norwitz ER, Sfakianaki AK, Hamar B, Copel JA et al (2005) Sonographic myometrial thickness predicts the latency interval of women with preterm premature rupture of the membranes and oligohydramnios. Am J Obstet Gynecol 193 (3pt1):762–770
Mercer BM, Midovnik M, Thurnau GR, Goldenberg RL, Das AF, Ramsey RD et al (1997) Antibiotic therapy for reduction of infant morbidity after preterm premature rupture of the membranes. A randomized controlled trial. JAMA 278:989–995
Davis JM, Krew MA, Gill P, Nelson KM, Hopkins MP (2008) The role of continuous fetal monitoring in the management of preterm premature rupture of membranes. J Matern Fetal Neonatal Med 21(5):301–304
Manuck TA, Maclean CC, Silver RM et al (2009) Preterm premature rupture of membranes: does the duration of latency influence perinatal outcomes? Am J Obstet Gynecol 201(4) p414.e1–e6
Test G, Levy A, Wiznitar A, Mazor M, Holcberg G, Zlotnik A et al (2010) Factors affecting the latency period in patients with preterm premature rupture of membranes. Arch Gynecol Obstet. doi:10.1007/s00404-010-1448-7
Melamed N, Hadar E, Ben-Haroush A, Kaplan B, Yogev Y (2009) Factors affecting the duration of the latency period in preterm premature rupture of membranes. J Matern fetal neonatal Med 22(11):1051–1056
Aziz N, Cheng YW, Caughey AB (2008) Factors and outcomes associated with longer latency in preterm premature rupture of membranes. J Matern fetal neonatal Med 21(11):821–825
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AtarJavdan, L., Khazaeipour, Z. & Shahbazi, F. Correlation of myometrial thickness and the latency interval of women with preterm premature rupture of the membranes. Arch Gynecol Obstet 284, 1339–1343 (2011). https://doi.org/10.1007/s00404-011-1841-x
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DOI: https://doi.org/10.1007/s00404-011-1841-x