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Sonographic Assessment of Myometrial Thickness as A Predictor for the Latency Interval in Women with Preterm Premature Rupture of Membranes

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Last updated: 03 Jan 2025

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Abstract

Background: Spontaneous rupture of membranes is a normal component of labor and delivery. Rupture of membranes before the onset of labor is considered premature (PROM), and induction of labor is common if the patient is at or close to term. Patient management becomes more challenging when rupture of membranes occurs preterm (PPROM), and in the absence of labor.
Objective: The aim of this work was to measure the myometrial wall thickness (MT) by ultrasound scanning in women with PPROM as predictors for the latency interval, and see other impacts that predict the latency interval. Patients and Methods: This study included a total of 100 pregnant women attending at Labor and Delivery Ward in Al Hussein Hospital, Al-Azhar University. This study was conducted between May 2018 to December 2018. Pregnant women were divided into three groups: preterm premature rupture of membranes (PPROM, n=50), and term nonlabor control (T-CTR, n =25) and preterm nonlabor control (P-CTR, n=25).
Results: revealed that women with PPROM were slightly older compared with those in P-CTR group and T- CTR group but with no statistical significant difference. There was no significant difference among groups in number of previous pregnancies. There was also no significant difference in maternal body weight among groups. Regression analysis suggested that there was a direct correlation between latency interval and fundal MT with a very strong positive Pearson correlation and a highly significant p value.
Conclusion: It could be concluded that there was a significant thickening of the fundal walls of the uterus follow PPROM. A thick myometrium in no laboring PPROM women is associated with long latency interval.

DOI

10.21608/ejhm.2019.27416

Keywords

PPROM, Myometrium, Oligohydramnios Ultrasound preterm birth, Latency interval

Authors

First Name

Abdalmonem Mohamed

Last Name

Zakaria

MiddleName

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Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

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First Name

Waleed Alsayed Alsayed

Last Name

Alnagar

MiddleName

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Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

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Orcid

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First Name

Khaled Mahmoud Ahmed

Last Name

Ahmed

MiddleName

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Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

dr.khaled.m.a.a@gmail.com

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Volume

74

Article Issue

7

Related Issue

4924

Issue Date

2019-01-01

Receive Date

2019-02-18

Publish Date

2019-01-01

Page Start

1,462

Page End

1,472

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 74_Issue 7_Pages 1462-1472.pdf

PDF . 525.2kB

Link

https://ejhm.journals.ekb.eg/article_27416.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=27416

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Sonographic Assessment of Myometrial Thickness as A Predictor for the Latency Interval in Women with Preterm Premature Rupture of Membranes

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Article

Created At

22 Jan 2023