Implantation of a port system for Preterm Prelabour Rupture of Membranes (PPROM) and placental insufficiency

As the only Centre in Germany we develop new approaches for the therapy of early Premature Prelabour Rupture of Membranes. This is based on the insertion of a special port system.


The port system

A port system is a metal capsule with one side made of self-sealing silicon, which can be implanted within a short surgery in the sub cutis of the maternal abdomen.  A small plastic tube (catheter) is connected to this capsule and leads into the amniotic sac.  Fluids can be given via a catheter into the port system if you puncture the silicon membrane with a needle through the patient’s skin.  The port system is widely used in internal medicine in cases where permanent access to deeper large veins in needed.


How we use the port system in obstetrics

We use the port system in cases of early Premature Prelabour Rupture of Membranes with no liquor and in cases of severe placental insufficiency.


The usage for Preterm Prelabour Rupture of Membranes (PPROM)

Rupture of membranes means that the mother´s water breaks. So the amniotic fluid surrounding and protecting the fetus in the womb is leaking out of the vagina. This typically happens at the onset of the birth. Prelabour Rupture of Membranes (PROM) means that the membranes rupture significantly before the baby is due. The amniotic membranes and fluid protect the baby in the womb from the environment. Following PROM only a tiny amount of amniotic fluid is left and the protection  from the amniotic membrane is void. If this happens very early in pregnancy we speak of Preterm Prelabour Rupture of Membranes (PPROM). This poses a severe threat to the fetus, which may not be able to develop its lungs (lung hypoplasia) and can get permanent stiffness of the joints (contractures) due to the pressure of the surrounding tissue.  Germs can migrate from the vagina to the fetus and initiate contractions and lead to a very premature baby following preterm birth.

Contact us

Director:                                                                                                        Michael Tchirikov

Universitätsklinikum Halle (Saale)
Universitätsklinik und Poliklinik für Geburtshilfe
Ernst-Grube-Straße 40
06120 Halle (Saale)

Central Secretariat:
Claudia Heinrich
Telefon: (0345) 557-3250
Telefax: (0345) 557-2448

Delivery Ward:
Telefon: (0345) 557-2454 
Telefax: (0345) 557-2450

Clinical office
Vera Preuß
Telefon: (0345) 557-2324
Telefax: (0345) 557-2448

Outpatient Clinic
Telefon: (0345) 557-2126

Maternity ward (antepartum care) 
Telefon: (0345) 557-2519
             (0345) 557-2521

Maternity ward (postpartum care)
Telefon: (0345) 557-2512
             (0345) 557-2515