EXPECTANT CONDUCT IN PREMATURE RUPTURE OF AMNIOTIC MEMBRANES IN LATE PRETERM INFANT

EXPERIENCE IN TERTIARY UNIT

Abstract

INTRODUCTION: maternal-fetal complications such as corioamnionitis and neonatal death, triggered by premature rupture of preterm ovular membranes (PPROM), caused many societies to adopt expectant management up to 34 weeks. However, currently, weight societies in the obstetric world have reviewed such conduct. OBJECTIVE: this study aims to describe obstetric and perinatal morbidity in expectant management in patients with PPROM with GA between 34 and 36 weeks and 6 days, admitted to a tertiary hospital unit, a reference for the care of high-risk pregnancies in the state of Goiás. METHOD: this is a descriptive retrospective observational study, in which women with single pregnancy were included, presenting PPROM confirmed between 34 ± and 36 + 6 weeks of gestation and who were not in labor within 24 hours after rupture of membranes. Result: the present study evaluated 94 patients, and 4.3% (4/94) of chorioamnionitis was observed; 1% (1/94) of puerperal infection; 3.2% (3/94) of Apgar < 7 in the 5th minute; 11.7% (11/94) of admission of newborns in the ICU and 0% (0/94) of neonatal death. CONCLUSION: women with late PPROM, expectant management, as well as immediate delivery, are acceptable alternatives, given the equivalence in the literature in relation to the advantages and disadvantages for the maternal-fetal binomial.