Hopp til hovedinnhold

For tidlig vannavgang

For tidlig vannavgang er når fostervannet går uten at det er andre tegn til at fødselen har startet. Seks til tolv prosent av alle fødende er uten rier i inntil en time etter at fostervannet har gått.

Sist revidert:

QR
Del pasientinformasjon

Den ligger åpent tilgjengelig på NHI.no sammen annen relevant informasjon

https://nhi.no/familie/graviditet/svangerskap-og-fodsel/sykdommer/komplikasjoner-i-svangerskapet/for-tidlig-vannavgang/ 

Hva er for tidlig vannavgang?

Disponerende faktorer

Risiko

Diagnostikk

Behandling

Vil du vite mer?

Kilder

Referanser

Dette dokumentet er basert på det profesjonelle dokumentet For tidlig vannavgang. Referanselisten for dette dokumentet vises nedenfor.

  1. Sjøborg K, Bergøy Ø, Ellingsen L et al. Preterm vannavgang (pPROM) og primær vannavgang ved/nær termin (PROM). Veileder i fødselshjelp 16. februar 2020. www.legeforeningen.no 
  2. Tchirikov M, Schlabritz-Loutsevitch N, Maher J, et al. Mid-trimester preterm premature rupture of membranes (PPROM): etiology, diagnosis, classification, international recommendations of treatment options and outcome. J Perinat Med. 2018;46(5):465-488. PMID: 28710882 PubMed 
  3. American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No. 80: premature rupture of membranes. Clinical management guidelines for obstetrician-gynecologists. Obstet Gynecol. 2007 Apr;109(4):1007-19. PMID: 17400872. PubMed 
  4. Alexander JM, Mercer BM, Miodovnik M, Thurnau GR, Goldenburg RL, Das AF, et al. The impact of digital cervical examination on expectantly managed preterm rupture of membranes. Am J Obstet Gynecol 2000; 183: 1003-7. PubMed 
  5. Kenyon S, Pike K, Jones DR, Brocklehurst P, Marlow N, Salt A, Taylor DJ. Childhood outcomes after prescription of antibiotics to pregnant women with preterm rupture of the membranes: 7-year follow-up of the ORACLE I trial . Lancet 2008; 372: 1310-8. PubMed 
  6. Middleton P, Shepherd E, Flenady V, McBain RD, Crowther CA. Planned early birth versus expectant management (waiting) for prelabour rupture of membranes at term (37 weeks or more). Cochrane Database of Systematic Reviews 2017, Issue 1. Art. No.: CD005302. DOI: 10.1002/14651858.CD005302.pub3. DOI 
  7. Roberts D, Brown J, Medley N, Dalziel SR. Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth. Cochrane Database of Systematic Reviews 2017, Issue 3. Art. No.: CD004454. DOI: 10.1002/14651858.CD004454.pub3. DOI 
  8. Brownfoot FC, Gagliardi DI, Bain E, Middleton P, Crowther CA. Different corticosteroids and regimens for accelerating fetal lung maturation for women at risk of preterm birth. Cochrane Database of Systematic Reviews 2013, Issue 8. Art. No.: CD006764. DOI: 10.1002/14651858.CD006764.pub3. DOI 
  9. Hanley M, Sayres L, Reiff ES, Wood A, Grotegut CA, Kuller JA. Tocolysis: A Review of the Literature. Obstet Gynecol Surv. 2019;74(1):50-55. PMID: 30648727 PubMed 
  10. Kenyon S, Boulvain M, Neilson JP. Antibiotics for preterm rupture of membranes. Cochrane Database of Systematic Reviews 2013, Issue 12. Art. No.: CD001058. DOI: 10.1002/14651858.CD001058.pub3. DOI 
  11. Bond DM, Middleton P, Levett KM, van der Ham DP, Crowther CA, Buchanan SL, Morris J. Planned early birth versus expectant management for women with preterm prelabour rupture of membranes prior to 37 weeks' gestation for improving pregnancy outcome. Cochrane Database of Systematic Reviews 2017, Issue 3. Art. No.: CD004735.pub4 Cochrane (DOI) 
  12. Morris JM, Roberts CL, Bowen JR et al. Immediate delivery compared with expectant management after preterm pre-labour rupture of the membranes close to term (PPROMT trial): a randomised controlled trial. Lancet 2016; 387: 444-52. pmid:26564381 PubMed 
  13. Hakansson S, Kallen K. Impact and risk factors for early-onset group B streptococcal morbidity: analysis of a national, population-based cohort in Sweden 1997-2001. BJOG 2006 Dec;113(12):1452-1458. PubMed 
  14. van der Ham DP, van der Heyden JL, Opmeer BC, Mulder AL, Moonen RM, van Beek JH, et al. Management of late-preterm premature rupture of membranes: the PPROMEXIL-2 trial. Am J Obstet Gynecol 2012 Oct;207(4):276.e1-276.e10.
  15. Chapman E, Reveiz L, Illanes E, Bonfill Cosp X. Antibiotic regimens for management of intra-amniotic infection. Cochrane Database of Systematic Reviews 2014, Issue 12. Art. No.: CD010976. DOI: 10.1002/14651858.CD010976.pub2. DOI 
  16. Tsoi E, Fuchs I, Henrich W, et al. Sonographic measurement of cervical length in preterm prelabor amniorrhexis. Ultrasound Obstet Gynecol 2004; 24: 550-3. PubMed 
  17. French L. Prevention and treatment of postpartum endometritis. Curr Womens Health Rep 2003 Aug;3(4):274-279. PubMed 
  18. Lieman JM, Brumfield CG, Carlo W, Ramsey PS. Preterm premature rupture of membranes: is there an optimal gestational age for delivery? Obstet Gynecol 2005; 105: 12-7. PubMed