Am J Perinatol 2006; 23(4): 201-204
DOI: 10.1055/s-2006-934090
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Spontaneous Version Following Preterm Premature Rupture of Membranes

Linda Fonseca1 , Manju Monga1
  • 1Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Texas-Houston Health Science Center, Houston, Texas
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Publication History

Publication Date:
04 April 2006 (online)

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ABSTRACT

Our objective was to determine the rate of spontaneous version following preterm premature rupture of membranes (PPROM). Medical charts over a 4-year period were reviewed. All women with PPROM and singleton gestation between 24 and 34 weeks gestation were included; 65 patients met the inclusion criteria. By ultrasound on admission, 48 were cephalic 16 were breech, and one was transverse lie. Mean amniotic fluid index on admission was 5.1 ± 4.8 cm (standard deviation) and was not associated with fetal presentation at delivery. Spontaneous version from cephalic presentation at admission to noncephalic presentation at delivery occurred in one pregnancy (2.2%). Spontaneous version from noncephalic presentation at admission to cephalic presentation at delivery occurred in three pregnancies (17.6%; p = 0.05). Among women with noncephalic presentation at delivery (n = 15), 73.3% had a cesarean, compared with 23.4% of those with cephalic presentation at delivery (p < 0.05). Spontaneous version, particularly from cephalic to noncephalic presentation, is unlikely following PPROM.

REFERENCES

Linda FonsecaM.D. 

Division of Maternal Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Texas, Health Science Center Houston

6431 Fannin, 3.604, Houston, TX 77030