Why Do the Fetal Membranes Rupture Early after Fetoscopy? A Review

Benjamin J. Amberg, Ryan J. Hodges, Karyn A. Rodgers, Kelly J. Crossley, Stuart B. Hooper, Philip L.J. Dekoninck

Research output: Contribution to journalReview ArticleResearchpeer-review

17 Citations (Scopus)

Abstract

Iatrogenic preterm premature rupture of the fetal membranes (iPPROM) remains the Achilles' heel of keyhole fetal surgery (fetoscopy) despite significant efforts in preclinical models to develop new therapies. This limited success is partially due to incomplete understanding why the fetal membranes rupture early after fetoscopy and notable differences in membrane physiology between humans and domestic species. In this review, we summarize aspects of fetoscopy that may contribute to iPPROM, the previous efforts to develop new therapies, and limitations of preclinical models commonly used in fetal membrane research.

Original languageEnglish
Pages (from-to)493-503
Number of pages11
JournalFetal Diagnosis and Therapy
Volume48
Issue number7
DOIs
Publication statusPublished - Sept 2021

Keywords

  • Amnion
  • Chorion
  • Fetoscopy
  • Iatrogenic preterm premature rupture of membranes
  • Matrix metalloprotease
  • Preclinical model

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