Langdurig gebroken vliezen

Geschreven door Maaike van Egmond en Margot van Dijk
Gepubliceerd op 14 januari 2022

Wanneer de vliezen langer dan 24 uur gebroken zijn, spreken we van langdurig gebroken vliezen. Als er op dat moment geen weeën zijn, is het advies in de meeste regio’s om de zorg over te dragen naar de tweedelijn. Wanneer er na 48 tot 72 uur gebroken vliezen nog geen weeën zijn, wordt geadviseerd om de baring in te leiden.

Waar komt de grens van 24 uur vandaan? Wat is het risico van langdurig gebroken vliezen? Waarom wordt tweedelijnszorg geadviseerd? In dit artikel wordt antwoord gegeven op de vragen rondom langdurig gebroken vliezen bij een à terme zwangerschap zonder de aanwezigheid van GBS (Groep-B-streptokokken). GBS rondom een baring is een complex en uitgebreid onderwerp dat in een ander artikel zal worden behandeld.

Buckley, S. J., (Washington, D. C., & Childbirth Connection (Washington, D. C. (2015). Hormonal Physiology of Childbearing. National Partnership for Women & Families. BURCHELL R. C. (1964). PREMATURE SPONTANEOUS RUPTURE OF THE MEMBRANES. American journal of obstetrics and gynecology88, 251–255. https://doi.org/10.1016/0002-9378(64)90265-0

CALKINS L. A. (1952). Premature spontaneous rupture of the membranes. American journal of obstetrics and gynecology64(4), 871–877. https://doi.org/10.1016/s0002-9378(16)38801-9

CBS Statline. (2021, 22 september). Open data CBS. Geraadpleegd op 29 december 2021, van https://opendata.cbs.nl/statline/#/CBS/nl/dataset/37979NED/table

Dahlen, H. G., Thornton, C., Downe, S., de Jonge, A., Seijmonsbergen-Schermers, A., Tracy, S., Tracy, M., Bisits, A., & Peters, L. (2021). Intrapartum interventions and outcomes for women and children following induction of labour at term in uncomplicated pregnancies: a 16-year population-based linked data study. BMJ open11(6), e047040. https://doi.org/10.1136/bmjopen-2020-047040

Eriksson, M., Ladfors, L., Mattsson, L. A., & Fall, O. (1996). Warm tub bath during labor. A study of 1385 women with prelabor rupture of the membranes after 34 weeks of gestation. Acta obstetricia et gynecologica Scandinavica75(7), 642–644. https://doi.org/10.3109/00016349609054689

Ezra, Y., Michaelson-Cohen, R., Abramov, Y., & Rojansky, N. (2004). Prelabor rupture of the membranes at term: when to induce labor?. European journal of obstetrics, gynecology, and reproductive biology115(1), 23–27. https://doi.org/10.1016/j.ejogrb.2003.07.007

Gunn, G. C., Mishell, D. R., Jr, & Morton, D. G. (1970). Premature rupture of the fetal membranes. A review. American journal of obstetrics and gynecology106(3), 469–483. https://doi.org/10.1016/0002-9378(70)90378-9

Hannah, M. E., Ohlsson, A., Farine, D., Hewson, S. A., Hodnett, E. D., Myhr, T. L., Wang, E. E., Weston, J. A., & Willan, A. R. (1996). Induction of labor compared with expectant management for prelabor rupture of the membranes at term. TERMPROM Study Group. The New England journal of medicine334(16), 1005–1010. https://doi.org/10.1056/NEJM199604183341601

Hill, M. J., McWilliams, G. D., Garcia-Sur, D., Chen, B., Munroe, M., & Hoeldtke, N. J. (2008). The effect of membrane sweeping on prelabor rupture of membranes: a randomized controlled trial. Obstetrics and gynecology111(6), 1313–1319. https://doi.org/10.1097/AOG.0b013e31816fdcf3

In Zwang protocol (2011, juni). IN ZWANG PROTOCOL: beleid bij evident gebroken vliezen in GHZ. https://www.inzwang.nl/wp-content/uploads/2021/02/Beleid-bij-Evident-gebroken-vliezen-in-GHZ-v3.pdf KNOV. (2017, maart). Factsheet Langdurig gebroken vliezen.

Ladfors, L., Mattsson, L. A., Eriksson, M., & Fall, O. (1996). A randomised trial of two expectant managements of prelabour rupture of the membranes at 34 to 42 weeks. British journal of obstetrics and gynaecology103(8), 755–762. https://doi.org/10.1111/j.1471-0528.1996.tb09869.x

LANIER, L. R., Jr, SCARBROUGH, R. W., Jr, FILLINGIM, D. W., & BAKER, R. E., Jr (1965). INCIDENCE OF MATERNAL AND FETAL COMPLICATIONS ASSOCIATED WITH RUPTURE OF THE MEMBRANES BEFORE ONSET OF LABOR. American journal of obstetrics and gynecology93, 398–404. https://doi.org/10.1016/0002-9378(65)90068-2

Middleton, P., Shepherd, E., Flenady, V., McBain, R. D., & Crowther, C. A. (2017). Planned early birth versus expectant management (waiting) for prelabour rupture of membranes at term (37 weeks or more). Cochrane Database of Systematic Reviews, 2017(1). https://doi.org/10.1002/14651858.cd005302.pub3

Moore, R. M., Mansour, J. M., Redline, R. W., Mercer, B. M., & Moore, J. J. (2006). The physiology of fetal membrane rupture: insight gained from the determination of physical properties. Placenta27(11-12), 1037–1051. https://doi.org/10.1016/j.placenta.2006.01.002

NICE clinical guideline 190: Intrapartum Care. (2014). Royal College of Obstetricians & Gynaecologists. Geraadpleegd op 29 december 2021, van https://www.rcog.org.uk/en/guidelines-research-services/guidelines/intrapartum-care-care-of-healthy-women-and-their-babies-during-childbirth-nice-clinical-guideline-190/

NVOG. (2002). Breken van de vliezen voor het begin van de baring.

Pasquier, J. C., & Doret, M. (2008). Les membranes foetales : développement embryologique, structure et physiopathologie de la rupture prématurée avant terme [Fetal membranes: embryological development, structure and the physiopathology of the preterm premature rupture of membranes]. Journal de gynecologie, obstetrique et biologie de la reproduction37(6), 579–588. https://doi.org/10.1016/j.jgyn.2007.12.001

Pintucci, A., Meregalli, V., Colombo, P., & Fiorilli, A. (2014). Premature rupture of membranes at term in low risk women: how long should we wait in the "latent phase". Journal of perinatal medicine42(2), 189–196. https://doi.org/10.1515/jpm-2013-0017

Seaward, P. G., Hannah, M. E., Myhr, T. L., Farine, D., Ohlsson, A., Wang, E. E., Haque, K., Weston, J. A., Hewson, S. A., Ohel, G., & Hodnett, E. D. (1997). International Multicentre Term Prelabor Rupture of Membranes Study: evaluation of predictors of clinical chorioamnionitis and postpartum fever in patients with prelabor rupture of membranes at term. American journal of obstetrics and gynecology177(5), 1024–1029. https://doi.org/10.1016/s0002-9378(97)70007-3

Simpson, K. R., & James, D. C. (2008). Effects of oxytocin-induced uterine hyperstimulation during labor on fetal oxygen status and fetal heart rate patterns. American journal of obstetrics and gynecology, 199(1), 34.e1–34.e345.https://doi.org/10.1016/j.ajog.2007.12.015

Simkin, P., Hanson, L., & Ancheta, R. (2017). The Labor Progress Handbook. Wiley. Spinning Babies. (2021, 6 oktober). A Guide to Posterior Fetal Presentation. Geraadpleegd op 29 december 2021, van https://www.spinningbabies.com/pregnancy-birth/baby-position/posterior/

TAYLOR, E. S., MORGAN, R. L., BRUNS, P. D., & DROSE, V. E. (1961). Spontaneous premature rupture of the fetal membranes. American journal of obstetrics and gynecology82, 1341–1348. https://doi.org/10.1016/s0002-9378(16)36262-7

Tita, A. T., & Andrews, W. W. (2010). Diagnosis and management of clinical chorioamnionitisClinics in perinatology37(2), 339–354. https://doi.org/10.1016/j.clp.2010.02.003

Wickham, S., (2018). Inducing Labour: making informed decisions (second edition). Birthmoon Creations

Wickham, S. (2021). In Your Own Time. Birthmoon Creations.

Niet Ingeschreven

> Bevat

  • 7 Hoofdstukken

Reacties