exudates and Fetal-Membranes--Premature-Rupture

Complications associated with cerclage that are commonly described in the existing published reports include injuries to the cervix or bladder, premature rupture of membranes, chorioamnionitis and bleeding. We report an unusual complication of a ureterovaginal fistula formation after the insertion of a McDonald suture.

Topics: Adult; Anti-Bacterial Agents; Cerclage, Cervical; Cesarean Section, Repeat; Diagnosis, Differential; Drug Therapy, Combination; Female; Fetal Membranes, Premature Rupture; Humans; Infusions, Intravenous; Malaysia; Nephrostomy, Percutaneous; Postoperative Complications; Pregnancy; Pregnancy Complications, Infectious; Singapore; Treatment Outcome; Urinary Fistula; Urinary Tract Infections; Vaginal Fistula

Some anecdotal reports suggest that maternal colonisation with Acinetobacter baumannii during pregnancy is associated with adverse maternal and neonatal effects, including preterm premature rupture of membrane (PPROM). The objective of this study was to compare the maternal and neonatal effects of A. baumannii colonisation in cases with PPROM and those with spontaneous onset of labour at term.. The recruitment of participants' was carried out at Selayang Hospital, Selangor, Malaysia. Vaginal swabs were prospectively taken from 104 patients of PPROM and 111 with spontaneous onset of labour at term. Swabs were also taken from the axillae and ears of their babies. These swabs were cultured to isolate A. baumannii. Maternal and neonatal adverse outcomes were documented.. Sixteen mothers were A. baumannii positive, eight from each group respectively. None of the cases developed chorioamnionitis or sepsis. Those positive were four cases of PPROM and two babies of term labour. None of the babies developed sepsis.. This study does not support the suggestion that A. baumannii colonisation during pregnancy is associated with adverse maternal and neonatal outcomes.

Topics: Acinetobacter baumannii; Acinetobacter Infections; Adolescent; Adult; Case-Control Studies; Female; Fetal Membranes, Premature Rupture; Humans; Infant, Newborn; Infant, Newborn, Diseases; Labor, Obstetric; Malaysia; Middle Aged; Pregnancy; Pregnancy Complications, Infectious; Prospective Studies; Young Adult

In view of controversial reports about the role of prelabour rupture of foetal membranes (PROM) in neonatal morbidity and to study the association of PROM with infections and meconium aspiration syndrome (MAS), a prospective case control study was conducted in a level II nursery of Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan. Of the 111 neonates with PROM studied, 18 developed clinical problems (septicaemia and other specific problems such as pneumonia, omphalitis, skin infection and MAS) while 5/56 of the control group developed similar problems. The difference between the two groups was not significant (p < 0.30). There was no neonatal death. It is concluded that PROM is not associated with neonatal morbidity. Neonates with this problem alone do not need to be admitted to the neonatal nursery.

Topics: Case-Control Studies; Cross Infection; Female; Fetal Membranes, Premature Rupture; Humans; Infant, Newborn; Infection Control; Intensive Care Units, Neonatal; Malaysia; Male; Meconium Aspiration Syndrome; Morbidity; Patient Admission; Pregnancy; Prospective Studies; Risk Factors; Rural Population; Socioeconomic Factors