Preterm premature rupture of membranes: Which criteria contraindicate home care management?

Petit, Céline; Deruelle, Philippe; Behal, Hélène; Rakza, Thameur; Balagny, Sara; Subtil, D.; Clouqueur, É.; Garabédian, Charles

doi:10.1111/aogs.13433

Cited by 23 publications

(27 citation statements)

References 41 publications

(60 reference statements)

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“…6 As balancing the risk of chorioamnionitis and neonatal complications related to prematurity is challenging for the physicians, predicting neonatal outcome is one of the key points in the appropriate management of pregnancies complicated by PPROM. 7,8 Although gestational age at delivery is the main determinant of neonatal outcomes, exposure of the fetus to the excessive intrauterine infection/inflammation was another important risk factor for neonatal complications. [9][10][11][12] Thus, estimating maternal and fetal inflammation seems to be reasonable in order to assess the prognosis of the neonate.…”

Section: Introductionmentioning

confidence: 99%

A cut‐off value for systemic immune‐inflammation index in the prediction of adverse neonatal outcomes in preterm premature rupture of the membranes

Uyanık

Ünal

Beksaç

2020

J of Obstet and Gynaecol

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Aim To determine a cut‐off value for systemic immune‐inflammation index (SII)(neutrophil × platelet /lymphocyte) in the prediction of adverse neonatal outcomes in preterm premature rupture of the membranes (PPROM). Methods This retrospective cohort study was conducted among singleton pregnancies with PPROM. Cases were divided into two main groups: Group 1) PPROM diagnosed at 24th–28th weeks of gestation and Group 2) PPROM diagnosed at >28th–34th weeks of gestation. Thereafter, main study groups were divided into two subgroups: Subgroup A: pregnancies with favorable neonatal outcomes and Subgroup B: pregnancies with composite adverse neonatal outcomes. Subgroups were compared in terms of demographic features, clinical characteristics, laboratory test results and SII values. Furthermore, cut‐off values of SII for the prediction of composite adverse neonatal outcomes were determined for two main groups. A Mann–Whitney U test was conducted to compare the median values and the chi‐square test was used to compare categorical variables among the groups. Receiver operating characteristic (ROC) curves were used to assess the performance of SII value in predicting composite adverse neonatal outcomes. Results Significant differences were observed for median platelet and SII values between the subgroups (P < 0.001 for both in group 1 and P = 0.002 and P = 0.005, respectively, in group 2). Cut‐off values of 1695.14 109/L (83.3% sensitivity, 85.7% specificity) and 1430.90 × 109/L (71.4% sensitivity, 75.7% specificity) for composite adverse neonatal outcomes were determined, respectively in group 1 and 2 according to the ROC curve analysis. Conclusion SII may be used as an additional indicator for the prediction of adverse neonatal outcomes in PPROM.

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Section: Introductionmentioning

confidence: 99%

A cut‐off value for systemic immune‐inflammation index in the prediction of adverse neonatal outcomes in preterm premature rupture of the membranes

Uyanık

Ünal

Beksaç

2020

J of Obstet and Gynaecol

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“…Park et al [9] suggested that HCA confers additional adverse risks for maternal and neonatal, such as earlier gestational age at delivery, neonatal sepsis, hearing impairment, neurologic morbidity, and even death. Petit et al [10] indicated that home care management is a suitable alternative option for PPROM before 35 weeks' gestation when the eligibility criteria are relevant. At present, there are no clear clinical indicators to diagnose the presence of intrauterine infection in PPROM.…”

Section: Discussionmentioning

confidence: 99%

Increasd mRNA expression of TRAF-6 and MST-4 in the placenta of women with preterm premature rupture of membranes with histological chorioamnionitis

Lu,

Bao,

Wang

2020

Clin. Exp. Obstet. Gynecol.

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Objectives: To investigate the expression of mammalian Ste20-like kinase 4 (MST-4) and tumour necrosis factor receptor-associated factor 6 (TRAF-6) in placenta from cases with preterm premature rupture of membranes (PPROM) with histological chorioamnionitis (HCA). Methods: Forty PPROM pregnant women and 40 normal controls were recruited. The foetal membranes were examined by haematoxylin-eosin staining and immunohistochemistry (IHC). MST-4 and TRAF-6 mRNA levels were measured by real-time qPCR. Results: IHC showed that the expressions of TRAF-6 and MST-4 in the combined PPROM and intrauterine infection group were significantly stronger than those in the control group and the PPROM group (p < 0.05). RT-qPCR showed that the expression of TRAF6 and MST4 mRNA in the PPROM with HCA group was significantly higher than that in the control group and the PPROM without HCA group (p < 0.05), but there was no significant difference between the latter two groups (p > 0.05). Conclusion: Increased mRNA expression of TRAF-6 and MST-4 are associated with PPROM with HCA, which may provide new detection markers for the early diagnosis of PPROM with HCA.

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“…The authors concluded that hospital based care should be recommended to women who have all three of these features. 37 Evidence level 2À…”

Section: Evidence Level 2+mentioning

confidence: 99%

Care of Women Presenting with Suspected Preterm Prelabour Rupture of Membranes from 24⁺⁰ Weeks of Gestation

Thomson¹,

Gynaecologists²

2019

BJOG

123

135

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Preterm premature rupture of membranes: Which criteria contraindicate home care management?

Cited by 23 publications

References 41 publications

A cut‐off value for systemic immune‐inflammation index in the prediction of adverse neonatal outcomes in preterm premature rupture of the membranes

A cut‐off value for systemic immune‐inflammation index in the prediction of adverse neonatal outcomes in preterm premature rupture of the membranes

Increasd mRNA expression of TRAF-6 and MST-4 in the placenta of women with preterm premature rupture of membranes with histological chorioamnionitis

Care of Women Presenting with Suspected Preterm Prelabour Rupture of Membranes from 24⁺⁰ Weeks of Gestation

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Preterm premature rupture of membranes: Which criteria contraindicate home care management?

Cited by 23 publications

References 41 publications

A cut‐off value for systemic immune‐inflammation index in the prediction of adverse neonatal outcomes in preterm premature rupture of the membranes

A cut‐off value for systemic immune‐inflammation index in the prediction of adverse neonatal outcomes in preterm premature rupture of the membranes

Increasd mRNA expression of TRAF-6 and MST-4 in the placenta of women with preterm premature rupture of membranes with histological chorioamnionitis

Care of Women Presenting with Suspected Preterm Prelabour Rupture of Membranes from 24+0 Weeks of Gestation

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Care of Women Presenting with Suspected Preterm Prelabour Rupture of Membranes from 24⁺⁰ Weeks of Gestation