Abstract:

Purpose: The aim of this study was to determine amniotic membrane healing rates in pregnancies that are complicated with premature membrane rupture (PPROM) between 20-34 weeks. Factors related to healing were also assessed. Material and Method: The study included complicated and clinically followed single pregnancies with PPROM of 20-34 weeks. The primary goal was to determine the rates of spontaneous amniotic recovery after PPROM. Detection of the best waiting time for amniotic recovery was the second goal. Obstetric results were analyzed again in groups with and not spontaneous amniotic healing. A total of 114 patients were included in the study. In 6 of them, the pregnancy age was 24 weeks before the membrane reptures and in 98 between 24 and 34 weeks. Seven cases of spontaneous amniotic healing occurred again. It all occurred within the first week after the membrane ruptures. The group with spontaneous membranous healing observed longer pregnancy periods and better newborn results. The result: Large efforts have been made to heal the amniotic membranes after membrane ruptures. However, no success has been achieved in this area. Spontaneous amniotic membrane recovery after PPROM seems to be the best chance for this patient group.

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