Open AccessContinuous amnioinfusion via an epidural catheter following spontaneous membrane rupture: A case report
Author(s) -
Abdülkadir Turgut,
Selahattin Katar,
Muhammet Erdal Sak,
Fethiye Gülden Turgut,
Alparslan Şahin,
Serdar Başaranoğlu,
Ahmet Yalınkaya
Publication year - 2013
Publication title -
journal of the turkish-german gynecological association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.346
H-Index - 16
eISSN - 1309-0399
pISSN - 1309-0380
DOI - 10.5152/jtgga.2013.53367
Subject(s) - medicine , amnioinfusion , obstetrics , asphyxia , premature rupture of membranes , pulmonary hypoplasia , fetus , gynecology , pregnancy , surgery , oligohydramnios , biology , genetics
Preterm premature rupture of membranes (PPROM) is seen in 3% of all pregnancies, and is a frequent cause of preterm birth, neonatal mortality and morbidity. The most important complications are maternal and foetal infection, prematurity, umbilical cord compression, hypoxia or asphyxia due to cord prolapse, pulmonary hypoplasia and extremity deformities. The basic approach to PPROM therapy aims to prevent premature birth and the development of foetal distress, and decrease the risk of maternal and foetal infection, and amniotic fluid loss. In compliance with these objectives, alternatives of PPROM therapy demonstrate a wide spectrum, including watchful waiting, amniopatch application, recurrent amnioinfusions and emergency birth. However, repeated amnioinfusions in cases of fluid loss, especially within 6 hours of therapy, provides only minimal benefit. In this case presentation, we attempted to describe a different and cost-effective continuous amnioinfusion technique performed to confer survival benefit for an immature anhydramniotic foetus affected by PPROM at the border of viability.