Prolapsing amniotic membranes: detection, sonographic appearance, and management.

John P McGahan, F. Hanson

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Seventeen cases of prolapse of the amniotic membranes through a partially dilated endocervical canal are presented. Most of the patients had no prior history of incompetent cervix and less than half had either a therapeutic or spontaneous abortion. The prolapsed amniotic membranes are accompanied by uterine contractions and usually occur in the late second or early third trimester of pregnancy. Ultrasound was useful in confirming clinical findings, defining the extent of the prolapsed amniotic membranes, determining fetal viability, and demonstrating contents of the amniotic membranes. Tocolytics, abdominal amniocentesis, and cervical cerclage were of little benefit in preventing immediate delivery. Of the 17 patients, ten were live births and eight were stillbirths or immediate death due to prematurity.

Original languageEnglish (US)
Pages (from-to)204-209
Number of pages6
JournalJournal of perinatology : official journal of the California Perinatal Association
Volume7
Issue number3
StatePublished - Jun 1987

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Amnion
Uterine Cervical Incompetence
Fetal Viability
Cervical Cerclage
Tocolytic Agents
Therapeutic Abortion
Uterine Contraction
Amniocentesis
Stillbirth
Prolapse
Third Pregnancy Trimester
Live Birth
Spontaneous Abortion

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

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N2 - Seventeen cases of prolapse of the amniotic membranes through a partially dilated endocervical canal are presented. Most of the patients had no prior history of incompetent cervix and less than half had either a therapeutic or spontaneous abortion. The prolapsed amniotic membranes are accompanied by uterine contractions and usually occur in the late second or early third trimester of pregnancy. Ultrasound was useful in confirming clinical findings, defining the extent of the prolapsed amniotic membranes, determining fetal viability, and demonstrating contents of the amniotic membranes. Tocolytics, abdominal amniocentesis, and cervical cerclage were of little benefit in preventing immediate delivery. Of the 17 patients, ten were live births and eight were stillbirths or immediate death due to prematurity.

AB - Seventeen cases of prolapse of the amniotic membranes through a partially dilated endocervical canal are presented. Most of the patients had no prior history of incompetent cervix and less than half had either a therapeutic or spontaneous abortion. The prolapsed amniotic membranes are accompanied by uterine contractions and usually occur in the late second or early third trimester of pregnancy. Ultrasound was useful in confirming clinical findings, defining the extent of the prolapsed amniotic membranes, determining fetal viability, and demonstrating contents of the amniotic membranes. Tocolytics, abdominal amniocentesis, and cervical cerclage were of little benefit in preventing immediate delivery. Of the 17 patients, ten were live births and eight were stillbirths or immediate death due to prematurity.

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