Sonographic Assessment of Myometrial Thickness as A Predictor for the Latency Interval in Women with Preterm Premature Rupture of Membranes | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 3, Volume 74, Issue 7, January 2019, Page 1462-1472 PDF (512.92 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2019.27416 | ||||
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| Authors | ||||
Abdalmonem Mohamed Zakaria; Waleed Alsayed Alsayed Alnagar; Khaled Mahmoud Ahmed Ahmed 
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| Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||||
| 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. | ||||
| Keywords | ||||
| PPROM; Myometrium; Oligohydramnios Ultrasound preterm birth; Latency interval | ||||
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