Expectance in membrane rupture after biopsy of corial vellosities

Abstract

The iatrogenic rupture of membranes, during the performance of the chorionic villus biopsy is a very rare obstetric complication, which occurs in less than 1% of cases, but is complex to manage, because in the vast majority of cases a miscarriage will occur in the first 72 hours of amniorrhexis. However, if the loss does not happen and the clinical picture stabilizes, there is a risk of maternal complications and a very high perinatal morbidity and mortality. The rupture of membranes in nonviable fetuses after a procedure such as the chorionic villus biopsy represents a rare but significant challenge for obstetricians in terms of management, due to the limited literature available and the small number of reported cases. these terms in an inevitable loss either by oligohydramnios or by infectious processes, a weight of advances in obstetric and neonatal care, the perinatal prognosis remains very poor. However, the risk of severe maternal morbidity and mortality remains high.