Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Created on : 10 Feb 2004
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Outcomes after expectant management of extremely preterm premature rupture of the membranes. American Journal of Obstetrics and Gynecology 2004;190(1):183-87.

Author(s) :

Dinsmoor MJ, Bachman R, Haney EI, Goldstein M, MacKendrick W.

Year of publication :

2004

URL(s) :

http://www.sciencedirect.com/science?_ob=ArticleUR…

Résumé (français)  :

Abstract (English)  :

OBJECTIVE : This study was undertaken to assess contemporary outcomes in pregnancies managed expectantly after extremely preterm premature (24 weeks) premature rupture of the membranes (EPPROM).
STUDY DESIGN : We queried antepartum and ultrasound databases for patients with EPPROM. Data on pregnancy outcome and short-term neonatal outcomes were collected.
RESULTS : Forty-six patients with EPPROM were studied. Patients were hospitalized at 24 weeks’ gestation and given antibiotics and antenatal steroids. Median gestational age at PPROM was 22.0 weeks (range 16.9-24 weeks); 43 (93%) elected expectant management, 2 of whom later had an intrauterine fetal death. Median latency period to delivery was 13 days (range 0-96 days), with mean gestational age at delivery of 25.8±3.4 weeks. Overall survival was 47% (27 of 57 infants), after a median hospital stay of 71 days (range 17-209 days). Ten (37%) of the survivors have serious sequelae.
CONCLUSION : Although significant pregnancy prolongation after previable PPROM occurs in many cases, neonatal outcomes remain poor.

Sumário (português)  :

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Argument (français) :

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Keywords :

➡ premature baby ; perinatal death rates ; rupture of membranes

Author of this record :

Cécile Loup — 10 Feb 2004