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Date Published: 05/05/2025
Abstract Views: 72
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DOI: https://doi.org/10.51298/vmj.v549i3.13939
Issue
Vol. 549 No. 3 (2025)
Section
Các bài báo
How to Cite
Nguyễn Thị Bích, H. (2025). EVALUATION OF MANAGEMENT PRETERM RUPTURE OF MEMBRANES FETUSES AT NAM DINH OBSTETRICS AND GYNECOLOGY HOSPITAL. Vietnam Medical Journal, 549(3). https://doi.org/10.51298/vmj.v549i3.13939

EVALUATION OF MANAGEMENT PRETERM RUPTURE OF MEMBRANES FETUSES AT NAM DINH OBSTETRICS AND GYNECOLOGY HOSPITAL

Hồng Nguyễn Thị Bích

Main Article Content

Abstract

Objective: Describe the treatment of preterm premature rupture of membranes (PPROM) fetuses at Nam Dinh Obstetrics and Gynecology Hospital. Subjects and methods: Retrospective cross-sectional study on 127 pregnant women with PPROM in gestational age from 22 weeks 6 days to 36 weeks 6 days, from January 2024 to June 2024 at Nam Dinh Obstetrics and Gynecology Hospital. Results: 48% of cases were treated to maintain pregnancy; 28.4% of cases were induced, and 22.0% of cases were indicated for cesarean section; only 1.6% of cases had spontaneous labor. Medical treatment to maintain pregnancy was mainly used in the gestational age group under 32 weeks (accounting for 67,2%); the gestational age group from 35 weeks to 36 weeks and 6 days mainly received induced labor and cesarean section (accounting for 73.7% and 53.6). The average duration of pregnancy retention was 5.67 ± 10.76 days. Most cases with indications for induction of labor were performed within 6 to 12 hours after rupture of membranes (80.6%). Conclusion: Cases of PPROM were actively treated at Nam Dinh Obstetrics and Gynecology Hospital, mainly treatment to maintain pregnancy in the gestational age group under 32 weeks; most cases with indications for induction of labor were performed within 6 to 12 hours of rupturing membranes.

Article Details

Keywords

Premature rupture of membranes (PROM), preterm

References

1. Jean - Charles Pasquier, Muriel Rabilloud, Jean-Charles Picaud et al. (2005), "A prospective population-based study of 598 cases of PPROM between 24 and 34 weeks' gestation: description, management, and mortality (DOMINOS cohort)", European Journal of Obstetrics, Gynecology, and Reproductive Biology, 121, pp. 164-170.
2. Phạm Văn Khương (2009), Nghiên cứu cách xử trí ối vỡ non tại Bệnh viện Phụ Sản Trung ương năm 2008, Luận văn tốt nghiệp bác sĩ chuyên khoa II, Trường Đại học Y Hà Nội, Hà Nội.
3. Buchanan SL, Crowther CA, Levett KM et al. (2010), "Planned early birth versus expectant management for women with preterm prelabour rupture of membranes prior to 37 weeks' gestation for improving pregnancy outcome", Cochrane Database Syst Rev, CD004735.
4. D. Roberts, S. Dalziel (2006), "Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth", The Cochrane Database of Systematic Reviews, pp. CD004454.
5. C. Couteau, J.-B. Haumonté, F. Bretelle et al. (2013), "Pratiques en France de prise en charge des ruptures prématurées des membranes", Journal de Gynécologie Obstétrique et Biologie de la Reproduction, 42, pp. 21-28.
6. Hướng dẫn quốc gia về các dịch vụ chăm sóc sức khỏe sinh sản (2009), Bộ Y tế.
7. Daniel Surbek, Gero Drack, Olivier Irion et al. (2012), "Antenatal corticosteroids for fetal lung maturation in threatened preterm delivery: indications and administration", Archives of Gynecology and Obstetrics, 286, pp. 277-281.
8. "American College of Obstetricians and Gynecologists Committee on Obstetric Practice" (2008), ACOG Committee Opinion No. 402: Antenatal corticosteroid therapy for fetal maturation, pp. 111 - 805.
9. J. H. Harger, A. W. Hsing, R. E. Tuomala et al. (1990), "Risk factors for preterm premature rupture of fetal membranes: a multicenter casecontrol study", American Journal of Obstetrics and Gynecology, 163, pp. 130-137.