Write your message
Volume 7, Issue 6 (November - December 2022)                   J Obstet Gynecol Cancer Res 2022, 7(6): 489-496 | Back to browse issues page

XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Abedini F, Mohammadian Amiri M, Danaei M, Eshraghi N. Assessment of Communication AFI and Uterocervical Angle with Pregnancy Duration in Patients with Pretem Premature Rupture of Membranes 24-34 Weeks. J Obstet Gynecol Cancer Res. 2022; 7 (6) :489-496
URL: http://jogcr.com/article-1-521-en.html
1- Department of Obstetrics and Gynecology, Akbarabadi Clinical Research Development Center, Iran University of Medical Sciences, Tehran, Iran
2- Department of Perinatology, Shahid Akbarabadi Hospital, Iran University of Medical Sciences, Tehran, Iran
3- Department of Obstetrics and Gynecology, Akbarabadi Clinical Research Development Center, Iran University of Medical Sciences, Tehran, Iran , nooshineshraghi962@gmail.com
Abstract:   (137 Views)

Background & Objective: Premature rupture of membranes (PROM) and preterm delivery are the most important problems observed in pregnancies that can cause many consequences. The present study investigated the relationship between amniotic fluid index (AFI) and uterocervical angle in patients with PROM between 24 and 34 weeks of gestation.
Materials & Methods: This study was a cohort study carried out on 50 pregnant women with PROM. Inclusion criteria were 24 to 34 weeks of gestation and singleton deliveries. Demographic characteristics and pregnancy history of the subjects were determined through interviews and examinations. Moreover, AFI and uterocervical angle were determined based on ultrasound results. Subjects were followed up until delivery.
Results: Mean age of the patients was 25.14±5.32 years; 23 patients (46%) had delivery latency less than 7 days. The mean uterocervical angle in the delivery latency group ≤7 was significantly higher than that in the group more than 7 days (P <0.001). Moreover, the mean AFI in the delivery latency group ≤7 was significantly higher (P <0.001). The uterocervical angle above 107.7 with a sensitivity of 87% and a specificity of 88.9% had a predictive power and its area under curve (AUC) was 0.912 (P <0.001). The mean AFI below 5.4 with a sensitivity of 81.5% and a specificity of 65.5% had a predictive power (AUC: 0.866, P <0.001).
Conclusion: Uteroservical angle and AFI can be good predictors for assessing delivery latency in women with PROM. Furthermore, the mean uterocervical angle in the delivery latency group ≤7 days is significantly higher than that in the group more than 7 days, but conversely AFI is less.

     
Systematic Review: Original Research | Subject: Obstetrics and Gynecology
Received: 2021/10/27 | Accepted: 2022/01/19 | Published: 2022/09/9

References
1. Cunningham F, Leveno K, Bloom S, Hauth J, Gilstrp L, Wenstrom D. Williams Obestetrics. New York: Mc Graw Hill2010.
2. Lorthe E, Torchin H, Delorme P, Ancel P-Y, Marchand-Martin L, Foix-l'Hélias L, et al. Preterm premature rupture of membranes at 22-25 weeks' gestation: perinatal and 2-year outcomes within a national population-based study (EPIPAGE-2). Am J Obstet Gynecol. 2018;219(3):298-e1. [DOI:10.1016/j.ajog.2018.05.029] [PMID]
3. Tsakiridis I, Mamopoulos A, Chalkia-Prapa E-M, Athanasiadis A, Dagklis T. Preterm premature rupture of membranes: a review of 3 national guidelines. Obstet Gynecol Surv. 2018;73(6):368-75. [DOI:10.1097/OGX.0000000000000567] [PMID]
4. Feng L, Allen TK, Marinello WP, Murtha AP. Infection-induced thrombin production: a potential novel mechanism for preterm premature rupture of membranes (PPROM). Am J Obstet Gynecol. 2018;219(1):101.e1-.e12. [DOI:10.1016/j.ajog.2018.04.014] [PMID] [PMCID]
5. Gahwagi MMM, Busarira MO, Atia M. Premature rupture of membranes characteristics, determinants, and outcomes of in Benghazi, Libya. Open J Obstet Gynaecol. 2015;5(09):494. [DOI:10.4236/ojog.2015.59072]
6. Abdali F, Taghavi S, Vazifekhah S, Behzad MN, Attari MMA. Effect of progesterone on latent phase prolongation in patients with preterm premature rupture of membranes. Acta Medica Iranica. 2017;55(12):772-8.
7. Kuba K, Bernstein PS. ACOG Practice Bulletin No. 188: Prelabor Rupture of Membranes. Obstet Gynecol. 2018;131(6). [DOI:10.1097/AOG.0000000000002663] [PMID]
8. Boskabadi H, Maamouri G, Mafinejad S. Neonatal complications related with prolonged rupture of membranes. Maced J Med Sci. 2011;4(1):93-8.
9. Weissmann-Brenner A, O'Reilly-Green C Fau - Ferber A, Ferber A Fau - Divon MY, Divon MY. Values of amniotic fluid index in cases of preterm premature rupture of membranes. J Perinat Med. 2009;37(3):232-5. [DOI:10.1515/JPM.2009.078] [PMID]
10. Boskabadi H, Saghafi N, Najafi A. Comparing the efficacy of cefotaxime and ampicillin on neonatal infection after premature rupture of membranes. Iran J Obstet Gynecol Infertil. 2014;17(93):1-9.
11. Bahasadri SH, Nateghi K. Antibiotic Therapy in Preterm Premature Rupture of Membrane. Razi J Med Sci. 2006;13(52):59-65.
12. Schleußner E. The prevention, diagnosis and treatment of premature labor. Dtsch Arztebl Int. 2013;110(13):227-36. [DOI:10.3238/arztebl.2013.0227] [PMID] [PMCID]
13. Rabiepoor S, Khodaei A, Valizadeh R. Husbands' participation in prenatal care and breastfeeding self-efficacy in Iranian women: A randomized clinical trial. Med J Islam Repub Iran. 2019;33:58. [DOI:10.47176/mjiri.33.58] [PMID] [PMCID]
14. Amirshahi M. The reasons for the lack of breast feeding in preterm infants admitted to Alzahra hospital in Tabriz [Thesis]. Iran: Nurs school Tabriz Univ Med Sci. 2008.
15. Workineh Y, Birhanu S, Kerie S, Ayalew E, Yihune M. Determinants of premature rupture of membrane in Southern Ethiopia, 2017: case control study design. BMC Res Notes. 2018;11(1):1-7. [DOI:10.1186/s13104-018-4035-9] [PMID] [PMCID]
16. Heaman MI, Sprague AE, Stewart PJ. Reducing the Preterm Birth Rate: A Population Health Strategy. J Obstet Gynecol Neonatal Nurs. 2001;30(1):20-9. [DOI:10.1111/j.1552-6909.2001.tb01518.x] [PMID]
17. Deng W, Pleasure J, Pleasure D. Progress in Periventricular Leukomalacia. Arch Neurol. 2008;65(10):1291-5. [DOI:10.1001/archneur.65.10.1291] [PMID] [PMCID]
18. Melamed N, Hadar E, Ben-Haroush A, Kaplan B, Yogev Y. Factors affecting the duration of the latency period in preterm premature rupture of membranes. J Matern-Fetal Neonatal Med 2009;22(11):1051-6. [DOI:10.3109/14767050903019650] [PMID]
19. Butt FT, Ahmed B. The role of antepartum transabdominal amnioinfusion in the management of oligohydramnios in pregnancy. J Matern-Fetal Neonatal Med. 2011;24(3):453-7. [DOI:10.3109/14767058.2010.497574] [PMID]
20. Burstein E, Sheiner E, Mazor M, Carmel E, Levy A, Hershkovitz R. Identifying risk factors for premature rupture of membranes in small for gestational age neonates: a population-based study. J Matern-Fetal Neonatal Med. 2008;21(11):816-20. [DOI:10.1080/14767050802385756] [PMID]
21. Zhou Q, Zhang W, Xu H, Liang H, Ruan Y, Zhou S, et al. Risk factors for preterm premature rupture of membranes in Chinese women from urban cities. Int J Gynaecol Obstet. 2014;127(3):254-9. [DOI:10.1016/j.ijgo.2014.06.020] [PMID]
22. Alijani L, Mosadegh H, Saremi AT, Mashhadi khan M. Maternal Risk Factors of Premature Rupture of Membrane (PROM) after 37 Weeks of Pregnancy. SJMR. 2017;2(4):9-12. [DOI:10.29252/sjrm.2.1.9]
23. Yh YU. Risk factors of premature rupture of membranes with neonatal infection: a single-center study. J South Med Univ. 2011;31(3):465-8.
24. Abdelazim IA, Makhlouf HH. Placental alpha microglobulin-1 (AmniSure® test) for detection of premature rupture of fetal membranes. Arch Gynecol Obstet. 2012;285(4):985-9. [DOI:10.1007/s00404-011-2106-4] [PMID]
25. Temel O, Cöğendez E, Selçuk S, Asoğlu MR, Kaya E. β-human chorionic gonadotropin assay in vaginal washing fluid for the accurate diagnosis of premature rupture of membranes during late pregnancy. 2013;14(4):201-4. [DOI:10.5152/jtgga.2013.65624] [PMID] [PMCID]
26. Hunter TJ, Byrnes MJ, Nathan E, Gill A, Pennell CE. Factors influencing survival in pre-viable preterm premature rupture of membranes. J Matern-Fetal Neonatal Med. 2012;25(9):1755-61. [DOI:10.3109/14767058.2012.663824] [PMID]
27. Azria E, Anselem O, Schmitz T, Tsatsaris V, Senat MV, Goffinet F. Comparison of perinatal outcome after pre‐viable preterm prelabour rupture of membranes in two centres with different rates of termination of pregnancy. Bjog-Int J Obstet Gy. 2012;119(4):449-57. [DOI:10.1111/j.1471-0528.2011.03265.x] [PMID]
28. Mehra S, Amon E, Hopkins S, Gavard JA, Shyken J. Transvaginal cervical length and amniotic fluid index: can it predict delivery latency following preterm premature rupture of membranes? Am J Obstet Gynecol. 2015;212(3):400.e1-.e9. [DOI:10.1016/j.ajog.2015.01.022] [PMID]
29. Conde-Agudelo A, Romero R, Hassan SS, Yeo L. Transvaginal sonographic cervical length for the prediction of spontaneous preterm birth in twin pregnancies: a systematic review and metaanalysis. Am J Obstet Gynecol. 2010;203(2):128-e1. [DOI:10.1016/j.ajog.2010.02.064] [PMID] [PMCID]
30. Esplin MS, Elovitz MA, Iams JD, Parker CB, Wapner RJ, Grobman WA, et al. Predictive accuracy of serial transvaginal cervical lengths and quantitative vaginal fetal fibronectin levels for spontaneous preterm birth among nulliparous women. Jama. 2017;317(10):1047-56. [DOI:10.1001/jama.2017.1373] [PMID] [PMCID]
31. Conde-Agudelo A, Romero R. Predictive accuracy of changes in transvaginal sonographic cervical length over time for preterm birth: a systematic review and metaanalysis. American journal of obstetrics and gynecology. 2015;213(6):789-801. [DOI:10.1016/j.ajog.2015.06.015] [PMID] [PMCID]
32. Crane JMG, Hutchens D. Transvaginal sonographic measurement of cervical length to predict preterm birth in asymptomatic women at increased risk: a systematic review. Ultrasound in Obstetrics and Gynecology. 2008;31(5):579-87. [DOI:10.1002/uog.5323] [PMID]
33. Sousa CRMd, Linhares JJ, Arcanjo FCN, Andrade RN, Vieira MF. Cervical length as a predictor of the latent period and infection in preterm premature membranes rupture. Rev Bras de Ginecol e Obstet. 2012;34:158-63.
34. Lee Y-J, Kim S-C, Joo J-K, Lee D-H, Kim K-H, Lee K-S. Amniotic fluid index, single deepest pocket and transvaginal cervical length: Parameter of predictive delivery latency in preterm premature rupture of membranes. Taiwan J Obstet Gynecol. 2018;57(3):374-8. [DOI:10.1016/j.tjog.2018.04.008] [PMID]
35. Tsoi E, Fuchs I, Henrich W, Dudenhausen JW, Nicolaides KH. Sonographic measurement of cervical length in preterm prelabor amniorrhexis. Ultrasound Obstet Gynecol. 2004;24(5):550-3. [DOI:10.1002/uog.1122] [PMID]
36. Mercer BM, Rabello YA, Thurnau GR, Miodovnik M, Goldenberg RL, Das AF, et al. The NICHD-MFMU antibiotic treatment of preterm PROM study: impact of initial amniotic fluid volume on pregnancy outcome. Am J Obstet Gynecol. 2006;194(2):438-45. [DOI:10.1016/j.ajog.2005.07.097] [PMID]
37. Goya M, Bernabeu A, García N, Plata J, Gonzalez F, Merced C, et al. Premature rupture of membranes before 34 weeks managed expectantly: maternal and perinatal outcomes in singletons. J Matern-Fetal Neonatal Med. 2013;26(3):290-3. [DOI:10.3109/14767058.2012.733779] [PMID]
38. Piazze J, Anceschi MM, Cerekja A, Brunelli R, Meloni P, Marzano S, et al. Validity of amniotic fluid index in preterm rupture of membranes. J Perinat Med. 2007;35(5):394-8. [DOI:10.1515/JPM.2007.077] [PMID]
39. Cannie MM, Dobrescu O, Gucciardo L, Strizek B, Ziane S, Sakkas E, et al. Arabin cervical pessary in women at high risk of preterm birth: a magnetic resonance imaging observational follow‐up study. Ultrasound Obstet Gynecol. 2013;42(4):426-33. [DOI:10.1002/uog.12507] [PMID]
40. Mubarak AM. Transvaginal cervical length and amniotic fluid index: Can it predict delivery latency following preterm premature rupture of membrane? Med J Babylon. 2018;15(1):78. [DOI:10.4103/MJBL.MJBL_20_18]
41. Daskalakis G, Theodora M, Antsaklis P, Sindos M, Grigoriadis T, Antsaklis A, et al. Assessment of uterocervical angle width as a predictive factor of preterm birth: a systematic review of the literature. Biomed Res Int. 2018;2018. [DOI:10.1155/2018/1837478] [PMID] [PMCID]
42. Kathir V, Maurya D, Keepanasseril A. Transvaginal sonographic assessment of cervix in prediction of admission to delivery interval in preterm premature rupture of membranes. J Matern-Fetal Neonatal Med. 2018;31(20):2717-20. [DOI:10.1080/14767058.2017.1353971] [PMID]
43. Kansara M, Yadav R. Role of Ultrasonic Assessment of Cervical Length and Amniotic Fluid Index in Predicting Delivery Latency Period Following Preterm Premature Rupture of Membranes. International Journal of Science and Research. 2020;9:856-60.
44. Borna S, Ghaemi M, Golshahi F, Shariat M, Shirazi M, Sahebdel B. Comparing Fetal Arteries' Doppler Ultrasound Pulsatility Indexes Premature Preterm Rupture of Membrane in Admission and Pregnancy Termination. J Obstet Gynecol Cancer Res. 2020;5(4):159-66. [DOI:10.30699/jogcr.5.4.159]
45. Knight JC, Tenbrink E, Onslow M, Patil AS. Uterocervical angle measurement improves prediction of preterm birth in twin gestation. Am J Perinatol. 2018;35(07):648-54. [DOI:10.1055/s-0037-1608877] [PMID]
46. Tavassoli F, Ghasemi M, Mohammad Zadeh A, Sharifian J, Tavasooli S. Comparative Study of Pregnancy Outcome in Premature Rupture of Membranes With Amniotic Fluid Indices of less and more than 5. J Shahid Sadoughi Univ Med Science. 2010;17(5):343-52.

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License Journal of Obstetrics, Gynecology and Cancer Research by Farname Inc is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. Based on a work at http://jogcr.com/.

© 2022 CC BY-NC 4.0 | Journal of Obstetrics, Gynecology and Cancer Research (JOGCR)

Designed & Developed by : Yektaweb | Piblisher: Farname Inc.