Abstract:

We aimed to determined; affect of clinical, laboratory, and ultrasonographic factors the time elapsed until the birth in midtrimester PPROM and PTE. Total 448 PPROM and PTE patients were conceived which applicant the Perinatology Department of Zekai Tahir Burak Women's Health Education and Research Hospital between 2012-2014 years. PPROM group consisted of 237 patients; PTE group consisted of 211 patients. PPROM and PTE groups were divided into subgroups as cervical culture positive and negative PPROM and PTE groups. Risk factors of until the time of birth was determined by multivariate regression analysis in cervical culture positive PPROM and PTE groups. Cervical length measured by TVUSG=0,907, 95% Cl = 0,823-0,999 and amniotic fluid index (or= 0,962, 95% Cl= 0,946-0,980. were determined risk factors of until the time of birth in cervical culture positive PPROM group. First pregnancy OR= 1,533, 95%Cl=1,054-2,230 and manual cervical dilation OR = 2,802, 95% Cl =1,915-4,099 were determined risk factors of until the time of birth in cervical culture positive PTE group. When we look at most of reproducing micro-organism; first Candida 43 (40,95%) -38 (43,67%) and second E. Coli 38 (36,19%)- 33 (37,93%), respectively in PPROM and PTE group. Reproducing micro-organism in cervical culture was not different between the groups. Servical lenght and AMI have been affected the the time of birth in PPROM group. Manuel servical space and first pregnancy have been affected the time of birth in PTE group

Keywords: