A Comparative Study on The Patients Outcome with Preterm Premature Rupture of Hyperechoic and Normo Echoic Amniotic Membranes Regarding Pregnancy
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In pregnant women who exhibit amniotic fluid leaking, assess the amniotic membrane echogenicity as a predictor of an early birth. From March 2021 to March 2022, this prospective cohort research was conducted at , Department of obstetrics and gynecology,TS Misra Medical college, Lucknow Uttar pradesh India . 72 pregnant women with singleton pregnancies who had preterm amniotic fluid leaks and were between the ages of 18 and 50 were recruited for the research. Between 28 and 37 weeks was the gestational age. The study used transvaginal ultrasonography to assess the amniotic membranes' sonographic appearance near the internal os. We classified the membranes as either normo-echoic or hyperechoic when they exhibited echogenic resemblance to the fetal bones (either the skull, femur, or pelvic bones). The incidence of spontaneous preterm labor and the duration from admission to delivery were the main outcome indicators. With a mean gestational age of 31.7 ± 2.5at hospital admission and a mean patient age of 28.6 ± 4.5, there was no statistically significant difference between the groups with hyperechoic and normo-echoic membranes. The normo-echoic group had a longer admission-to-delivery period ( p-value = 0.001). In the group with hyperechoic membranes, the incidence of spontaneous preterm birth was 80%, while in the group with normo-echoic membranes, it was 50%. In patients with preterm premature rupture of membranes, having fetal membranes that appear brighter on an ultrasound above the cervix may indicate that preterm delivery is likely to happen..
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