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Ultima descărcare din IBN: 2023-09-27 10:45 |
SM ISO690:2012 PALADI, Gheorghe, STAVINSKAIA, Ludmila, TABUICA, Uliana. Folosirea amnioinfuziei transabdominale în caz de rupere prematură a membranelor pretermen. In: Analele Ştiinţifice ale USMF „N. Testemiţanu”, 2009, nr. 5(10), pp. 38-44. ISSN 1857-1719. |
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Analele Ştiinţifice ale USMF „N. Testemiţanu” | ||||||
Numărul 5(10) / 2009 / ISSN 1857-1719 | ||||||
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Pag. 38-44 | ||||||
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Premature rupture of membranes between 22-34 weeks is associated with high level of neonatal mortality and morbidity. During 2005 year in obstetrical-gynecological hospital clinic of Chisinau were performed a series of transabdominal amnioinfusions in 9 women with PROM (gestational ages: two patients – 22 weeks, the others – 29-30 weeks). In the amniotic cavity was inserted a permanent catheter (epidural catheter) and intermittent amnioinfusions with warm saline fluid were made daily in the first week of treatment. Then procedures were repeated with 1-3 day interval in the volume according to the ultrasound data. This procedure was associated with bed rest, tocolysis, antibiotic prophylaxis and fetal pulmonary maturation therapy. The pregnancy was prolonged for 5-10 weeks, the labor occurred at 31-37 weeks. The indication for labor induction was the appearance of the signs of infection. All the babies were in the breach presentation and were delivered vaginally. During the first year of life in these children we haven‘t revealed any physical and psychic abnormalities. |
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