Maternal and neonatal outcomes based on the gestational age of midtrimester preterm premature rupture of membranes

Deutsch, Aaron; Deutsch, Elana; Totten, Crystal; Downes, Katheryne; Haubner, Laura; Belogolovkin, Victoria

doi:10.3109/14767051003678069

Cited by 30 publications

(20 citation statements)

References 17 publications

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“…Also, chorioamnionitis was a significant predictor of poor fetal outcome similar to a study conducted in China. 39 The earlier gestational age at PPROM in the present study was significantly associated with poor fetal outcome which agrees with other studies. 8, 22 , 40 This is explained by the fact that incidence of respiratory distress syndrome and the length of hospital stay are related to gestational age.…”

Section: Methodssupporting

confidence: 92%

Prevalence and outcome of Preterm Premature Rupture of Membranes (PPROM) among pregnant women attending Ain Shams maternity hospital

2018

The Egypt. J. of Community Medicine

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Abstract:Background: Preterm premature rupture of membranes (PPROM) is one of the leading identifiable causes of premature birth and it accounts for high rates of perinatal deaths in developed and developing countries. Objectives: The study was conducted to measure the prevalence of PPROM among pregnant women attending Ain Shams maternity hospital, and to identify the fetal/neonatal outcome among pregnant women presented with PPROM and potential factors associated with poor fetal/neonatal outcome. Method: A cross sectional study was conducted on two phases using data retrieved from computerized hospital information system (HIS), Ain Shams Maternity Hospital. Data about all deliveries from 2011-2015 was revised from Hospital Information System to calculate the frequency of PPROM during these years. A sample of 300 medical files of pregnant women who were diagnosed with PPROM before 37 weeks and admitted to the hospital in the year 2015 were then extracted from the hospital archive and revised using a checklist developed by the investigators. Relevant data was obtained from these medical files.

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Section: Methodssupporting

confidence: 92%

Prevalence and outcome of Preterm Premature Rupture of Membranes (PPROM) among pregnant women attending Ain Shams maternity hospital

2018

The Egypt. J. of Community Medicine

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“…PROM is a well-known risk factor for intrauterine infection [41–55]. Several investigators have suggested that MSAF is highly associated with infection, including endometritis and chorioamnionitis [16,17].…”

Section: Discussionmentioning

confidence: 99%

The frequency of meconium-stained amniotic fluid increases as a function of the duration of labor

Lee

Yang

et al. 2011

The Journal of Maternal-Fetal & Neonatal Medicine

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Objective The purpose of this study was to determine whether there is a relationship between the frequency of meconium-stained amniotic fluid (MSAF) and the duration of labor in term singleton gestation. Methods The clinical characteristics of women who delivered term singleton live newborns between 2001 and 2006 were examined. The cases involving neonates with major congenital anomalies were excluded. Results (1) The frequency of MSAF in term pregnancies was 18.4% (806/4376); (2) MSAF was found in only 2.8% (28/1008) of women who delivered by elective cesarean, but in 23.1% (778/3368) of women who delivered after the onset of labor (p<0.001); (3) The longer the duration of labor (first stage, second stage, or total), the higher the frequency of MSAF (p<0.001 for each); this remained significant after adjusting for other confounding variables such as parity, duration of rupture of membranes, gestational age at delivery, and mode of delivery (p<0.001 for each). Conclusion MSAF was found in only 2.8% (28/1008) of women who delivered before the onset of labor, but in 23.1% (778/3368) of women who delivered after the onset of labor. The longer the duration of labor, the higher the risk of MSAF in term singleton gestation.

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“…A number of papers have been published describing fetal and neonatal outcomes after PROM before 24 weeks gestation . It is difficult to compare their results, however, due to variations in the characteristics of study populations, clinical management strategies used, and reported outcomes.…”

mentioning

confidence: 99%

“…Survival rates reported in the literature on pregnancies complicated by PROM before 24 weeks vary significantly. Studies published in the last decade report that 26% to 56% of these pregnancies result in the birth of a neonate who survives to discharge . The quoted proportion of babies admitted to a neonatal nursery who survive to hospital discharge varies from 62 to 79% .…”

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confidence: 99%

Neonatal outcomes after prelabour rupture of membranes before 24 weeks' gestation

McLaughlin

Gardener

2016

J Paediatrics Child Health

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Maternal and neonatal outcomes based on the gestational age of midtrimester preterm premature rupture of membranes

Abstract: While neonatal survival improves at later GAs of mtPPROM, morbidity continues to be high.

Cited by 30 publications

References 17 publications

Prevalence and outcome of Preterm Premature Rupture of Membranes (PPROM) among pregnant women attending Ain Shams maternity hospital

Prevalence and outcome of Preterm Premature Rupture of Membranes (PPROM) among pregnant women attending Ain Shams maternity hospital

The frequency of meconium-stained amniotic fluid increases as a function of the duration of labor

Neonatal outcomes after prelabour rupture of membranes before 24 weeks' gestation

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