Introduction : Premature rupture of membranes (PROM) occurs in 10% of
pregnancies , while 3-5% of pregnancies are complicated with Preterm rupture of
membranes (PPROM) .
Aim : To study the role of uterine cervix injuries in PROM .
Materials and M
ethods :This is a case-control retrospective study conducted at
Obstetrics and Gynecology Department at Al-Assad and Tishreen University Hospitals ,
Lattakia , Syria , during the period between January 2015 – July 2017 .
The case group consisted of 90 PROM patients with a history or a physical
examination suggesting a cervical traumatic injury after exclusion the traditional risk
factors of premature rupture of membranes,
The control group consisted of 50 healthy pregnant women who successfully
completed the pregnancy without PROM.
As the prevalence of obesity has been increasing rapidly worldwide in recent times where
became of the most important diseases of age and the most influential public health, where a
second reason stainless prevention after smoking and leading to de
adly diseases, where it proved its
relationship with many cancers, especially cancers women such as cancer of the endometrine of the
uterus and breast cancer, where one study showed that obesity increases the progression of a range
of cancers also increase the proportion of morbidity and mortality resulting scientifically it is useful
to highlight the impact of obesity on the cellular changes and cervical colposcopy.
Research aim and justifications:To draw attention to the importance of obesity as a potential
factor to cause cellular alterations in the cervix due to it being a factor can be prevented and thus
emphasize the need to include obese within the league scanning programs.
The absence of a similar earlier study in Assad University Hospital.
Research methods and materials:Study 100 included sick of reviews the department of obstetrics
and gynecology at the Assad University Hospital in Lattakia during the period between 01/01/2012
and 01/01/2014, where they were questioning the patients and record information on Bmhar body
mass (weight, height) and did not study included patients smokers or users of oral contraceptives or
devices within the uterus (IUDs) or pregnant women or women with frequent infections.
Results :
- The existence of consensus between the results of endoscopic magnifier of the cervix and
cytological tests observed any that theory has not ignored any abnormal condition, with some cases
of false positive and this goes back to that colposcopy is a diagnostic test depends on the evaluation
of endoscopy specialist and his expertise in the interpretation of laparoscopic assets.
- Also found consensus among the results of smear and cellular screening with the presence
also some cases of false positive and this is due to not taking the biopsy directed properly, as is the
smear relatively test depends on the estimation of anatomy specialist patients and the presence of
abnormalities cell or to the extent this anomaly or for the possibility of error contained in the way
sampling or sample installed.
Conclusion:It turns out the study and depending on the value of the P value of a relationship
between obesity and assets laparoscopic and cellular cervix and thus conclude that all of Stain and
theorizing magnifier of the cervix and Sillete survey competently and are necessary can rely on
them in the initial survey for cancerous lesions and pre-cancer of the cervix in women obese.
Cervix cancer is one of the most important gynecological
cancers ,which is possible to be reduced by using early precancerous
detecting technics .
Objective : The aim of the study is to highlighten the colposcopy as a device
for early detection o
f precancerous lesions in the cervix , and compare the
results with histopathology .
