Preterm rupture of the membranes associated with recent cocaine use.
| Autor: | Dinsmoor MJ; Department of Obstetrics and Gynecology, Medical College of Virginia/Virginia Commonwealth University, Richmond., Irons SJ, Christmas JT |
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| Jazyk: | angličtina |
| Zdroj: | American journal of obstetrics and gynecology [Am J Obstet Gynecol] 1994 Aug; Vol. 171 (2), pp. 305-8; discussion 308-9. |
| DOI: | 10.1016/s0002-9378(94)70027-3 |
| Abstrakt: | Objective: We postulated that recent cocaine use is common among patients with preterm (< 37 weeks) rupture of the membranes and that cocaine users have shorter latency periods before the onset of labor and delivery compared with those without recent cocaine use. Study Design: A urine toxicologic screen was performed on all patients admitted with preterm rupture of the membranes. Patients were managed expectantly, without tocolytics, antibiotics, or steroids. Results: One hundred three patients were enrolled; 71 had negative screens and 19 were positive for cocaine alone. Cocaine-positive women were significantly older and had more advanced cervical dilatation at admission and a significantly shorter latency period from rupture of membranes to labor and delivery. Conclusion: Preterm rupture of the membranes associated with recent cocaine use is characterized by advanced cervical dilatation at admission and a shorter latency period to labor and delivery. |
| Databáze: | MEDLINE |
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