J. Hederlingová, S. Redechová
Associations of premature rupture of membranes and intraamniotic infection are generally
known. Most frequently it comes to premature rupture of membranes due to
a present infection. Contrary, after premature rupture of membranes due to other
than other infectious causes it comes to secondary ascendant intraamniotic infections.
Our group was created by 90 patients who gave birth by caesarian section
twelve and more hours after the rupture of membranes. In all of them preoperatively
a swab was taken for cultivation from intraamniotic space immediately after the
opening of the uterine cavity. In 53 cases (59 %) they were term pregnancies and in
37 cases (41 %|) it was labour before ended 37th gestation week. The average period
from rupture of membranes to the labour of the foetus was 37.6 hours. (12-511
hours.). All patients had antibiotic coverage. Cultivation examination was positive
in 50 cases (55.5%). Pathogenic or opportunistic microorganisms were in 12 cases,
61
out of it 9 times (24.3 %) in patients with preterm pregnancy. In term patients positive
finding was just in 3 cases (5.6 %), which is a statistically important difference
(p > 0.05). In 38 cases (76 %) of a total number of positive findings it was coagulase
of negative staphylococci.