Profilaxis antibiótica en la rotura de membrana pretérmino y prolongación del periodo de latencia

Abstract

The premature rupture of membranes is the loss of the continuity of the ovular membranes causing the exit of the amniotic fluid to the outside, this pathology complicates 3% of the pregnancies and contributes significantly to the perinatal morbidity and mortality. This increase in morbidity and mortality is mainly related to gestational age, in which there is premature rupture of membranes that brings maternal-fetal complications, being the most frequent chorioamnionitis and prematurity that leads to respiratory distress. The previous management of 34 weeks of gestation usually involves the administration of antibiotics and expectant management, in an effort to prolong pregnancy. For a decade now we have been publishing studies of antibiotics as prophylactics to obtain a longer period of latency without causing consequences to the mother or the fetus. Objective: To base the antibiotic prophylaxis in the premature rupture of preterm membranes and the prolongation of the delayed phase by means of the review of scientific articles that approach these problems to have greater knowledge of the handling on this pathology. Method: It is a review study of a descriptive article, for which it was used as a database: ScienceDirect, Spinger and Google Scholar for the search of scientific articles of the last 5 years. Conclusion: the prescription of antibiotics to women with premature rupture of membranes improves the health of newborns, antibiotics that are administered prolongedly the stay of the product in the uterus in the short term and reduce infections