RESUMO
The follow-up of premature rupture of membranes requires an hospitalization. The aim of this work was to evaluate the interest of the Prom-Test in the action to be taken in the case of a suspicion of premature rupture of membranes, a negative result allowing to not hospitalize the patient. 105 tests have been carried out producing 73 negative results, 23 positive and 9 doubtful. The childbirth, started or not, occurred much more quickly when the test is positive. Only 13 of the 73 negative tests resulted in a hospitalization including 11 for beginning of delivery. A correct use of the test can prevent unnecessary days of hospitalization.
Assuntos
Ruptura Prematura de Membranas Fetais/diagnóstico , Adulto , Feminino , Seguimentos , Humanos , Gravidez , Estudos ProspectivosRESUMO
A young woman with a history of in utero exposure to distilbestrol was diagnosed with vaginal clear-cell adenocarcinoma. Management consisted of limited excision of the tumor followed by brachytherapy after transposition of the ovaries. The patient had a successful pregnancy after reimplantation of the ovaries in their normal position and right adnexectomy for Chlamydia infection. The child was delivered by cesarean section. This is probably the first case with a pregnancy after repositioning of the ovaries in Europe and perhaps even in the world.