الفهرس 
Preterm Pre labour ruptures of membranesOnly 14 pages are availabe for public view
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Abstract
Membrane rupture before term (PPROM) is usually pathological and jeopardizes both maternal and neonatal outcomes. The primary neonatal risks following PPROM are the complications of prematurity. These include sepsis, respiratory distress syndrome, bronchopulmonary dysplasia, sepsis, intraventricular hemorrhage, necrotizing enterocolitis, pulmonary hypoplasia and skeletal dysplasia. Ultrasound allows semiquantitative assessment of amniotic fluid volume. Most women who present with PPROM undergo an ultrasound examination to determine fetal position, wellbeing and residual AFV. Data on the relationship between oligohydramnios and adverse neonatal outcomes in pregnancies complicated by PPROM are limited and conflicting. Furthermore, available studies are limited by a relatively small sample size and the inclusion of women with PPROM at 28 weeks of gestation for which the association with severe neonatal respiratory morbidity is expected to be weaker. Lastly, most of the available studies did not stratify the findings according to the severity of oligohydramnios at presentation. Also, to our knowledge, this is the first study to try to define cut – off values of AFI at presentation to predict neonatal morbidity as whole and to respiratory morbidity in particular. Therefore, the main objective of this study is to determine whether there is an association between of amniotic fluid index (AFI) and perinatal outcomes especially neonatal respiratory morbidity in patients with preterm prelabour rupture of membranes (PPROM). This study comprised on 100 preterm prelabour rupture of membranes (PPROM) cases who were chosen from the Obstetrics and Gynecology departments at Tanta University Hospitals and Kafr El –Seikh General Hospital during the period of research from December 2021 to March 2022. They all had singleton pregnancy and clinically confirmed PPROM by visualization of amniotic fluid through the cervical os during speculum examination.