Premature rupture of membranes before 34 weeks managed expectantly: maternal and perinatal outcomes in singletons

Goya, María; Bernabéu, A; García, Natalia; Plata, John; Gonzalez, F. Del Castillo; Merced, Carme; Llurba, Elisa; Suy, Anna; Casellas, Manuel; Carreras, Elena; Cabero, L.

doi:10.3109/14767058.2012.733779

Cited by 43 publications

(41 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the current study, the fetal death rate was 0.6% and the neonatal mortality rate was 7.41%. These figures agree with those found in the literature (17). As expected, the risk of adverse neonatal outcomes declined with a higher gestational age at PPROM; this finding agrees with the results of a study by Pasquier et al (19).…”

Section: Discussionsupporting

confidence: 83%

See 1 more Smart Citation

Perinatal outcomes of pregnancies complicated by preterm premature rupture of the membranes before 34 weeks of gestation in a tertiary center in China: A retrospective review

Wang

Gao

et al. 2015

BST

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 83%

“…This figure disagrees with those reported elsewhere due to differences in inclusion criteria. Ehsanipoor (17). In a retrospective study of women with singleton and twin pregnancies and PPROM between 24 +0 and 36 +6 weeks of gestation, 7.5% were found to have clinical chorioamnionitis (18).…”

Section: Discussionmentioning

confidence: 99%

Perinatal outcomes of pregnancies complicated by preterm premature rupture of the membranes before 34 weeks of gestation in a tertiary center in China: A retrospective review

Wang

Gao

et al. 2015

BST

View full text Add to dashboard Cite

“…The majority of studies in the current literature use AFI to determine the perinatal outcomes of oligohydramnios secondary to PPROM [1][2][3][4][5][6][7][8][9][10][11][12][13]. Only two studies [6,7] were identified that assessed perinatal outcomes after PPROM using the SDP and both of these studies were noted to have conflicting results.…”

Section: Introductionmentioning

confidence: 99%

“…PPROM complicates 2-3% of all pregnancies and is associated with 30-40% of preterm deliveries. This condition, therefore, is a major cause of perinatal morbidity and mortality [1,2]. Amniotic fluid has a number of functions that are essential for normal growth and development of the fetus.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Untitled

2017

OGIJ

View full text Add to dashboard Cite

Objective: To evaluate maternal and perinatal outcomes in cases with oligohydramnios after preterm premature rupture of membranes (PPROM) using single deepest pocket (SDP) at the time of diagnosis Methods: We performed a retrospective cohort study of perinatal outcomes based on SDP measurement at the time of PPROM during the study period 2011 to 2015 at a single institution. The SDP was determined by reviewing archived ultrasound images and reports at the time PPROM was diagnosed. Patients were subsequently divided into two groups, SDP <2cm (n=24) and SDP ≥ 2cm (n=54). Maternal and perinatal outcomes were subsequently compared according to single deepest vertical pocket. The Student's t-test and Chi-squared test were used to compare variables. All p values were expressed as exact values against the null hypothesis. Results:We identified 78 patients with PPROM between 24 and 34 weeks of pregnancy. A SDP <2cm in the setting of PPROM was associated with earlier gestational age at time of membrane rupture, earlier delivery, increased respiratory distress syndrome (RDS), lower Apgar score at one minute, and decreased birth weight. We believe that this association is the result of gestational age itself rather than a smaller single deepest vertical pocket. Conclusion:The presence of a SDP <2cm in the setting of PPROM is not associated with adverse maternal and perinatal outcomes. SDP was not shown to be a good predictive marker of composite perinatal morbidity. Larger prospective studies, however, should be performed to allow for a multivariate analysis.

show abstract

A retrospective cohort study of fetal assessment following preterm premature rupture of membranes

Tepper

Corelli

Navathe

et al. 2019

Intl J Gynecology & Obste

View full text Add to dashboard Cite

Objective To evaluate maternal and neonatal outcomes following management of preterm premature rupture of membranes (PPROM) by two fetal assessment strategies. Methods In a retrospective cohort study performed at two hospitals in Philadelphia, Pennsylvania between July 2010 and June 2015, data were reviewed from 180 singleton pregnancies with PPROM at 230–336 weeks of gestation that underwent expectant management. Outcomes were compared between continuous electronic fetal heart monitoring (EFM) with daily biophysical profile (BPP) (“continuous monitoring”) and non‐stress test (NST) three times per day (“periodic monitoring”) using Mann‐Whitney U and Fisher exact tests. Results Overall, 119 (66.1%) pregnancies were assessed by continuous monitoring and 61 (33.9%) by periodic monitoring. There was no difference in frequency of intrauterine death between the continuous monitoring (1, 0.8%) and periodic monitoring (3, 4.9%) groups (OR, 0.16; 95% CI, 0.02–1.61). The continuous monitoring group was more likely to have an interventional (OR, 2.17; 95% CI, 1.06–4.44) or cesarean (OR 3.30, 95% CI 1.70–6.38) delivery. Conclusion Continuous EFM with daily BPP was associated with higher rates of intervention and cesarean delivery compared with periodic NST, but there was no difference in intrauterine or perinatal mortality.

show abstract

Premature rupture of membranes before 34 weeks managed expectantly: maternal and perinatal outcomes in singletons

Abstract: Protective factors for PPROM could be normal AFI, cervical length >25 mm and negative cultures at PPROM diagnosis. These factors could permit home follow-up of this group of patients.

Cited by 43 publications

References 10 publications

Perinatal outcomes of pregnancies complicated by preterm premature rupture of the membranes before 34 weeks of gestation in a tertiary center in China: A retrospective review

Perinatal outcomes of pregnancies complicated by preterm premature rupture of the membranes before 34 weeks of gestation in a tertiary center in China: A retrospective review

Untitled

A retrospective cohort study of fetal assessment following preterm premature rupture of membranes

Contact Info

Product

Resources

About