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PPROM

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11 papers 0 to 25 followers
By Chad Klauser Maternal Fetal Medicine physician in NYC
https://www.readbyqxmd.com/read/21074135/expectant-management-of-preterm-premature-rupture-of-membranes-is-it-all-about-gestational-age
#1
Nir Melamed, Avi Ben-Haroush, Joseph Pardo, Rony Chen, Eran Hadar, Moshe Hod, Yariv Yogev
OBJECTIVE: We sought to compare neonatal outcome in cases of uncomplicated preterm premature rupture of membranes (PPROM) (ie, no evidence of clinical chorioamnionitis, placental abruption, or fetal distress) with that of spontaneous preterm deliveries (PTDs) and to determine the effect of the latency period. STUDY DESIGN: The study group included women with PPROM at gestational age 28⁰(/)⁷-33⁶(/)⁷ weeks (n = 488). Neonatal outcome was compared with a matched control group of women with spontaneous PTD (n = 1464)...
January 2011: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/25437729/neonatal-survival-after-prolonged-preterm-premature-rupture-of-membranes-before-24-weeks-of-gestation
#2
Jane E Brumbaugh, Tarah T Colaizy, Nina Nuangchamnong, Emily A O'Brien, Diedre K Fleener, Asha Rijhsinghani, Jonathan M Klein
OBJECTIVE: To evaluate neonatal survival after prolonged preterm premature rupture of membranes (PROM) in the era of antenatal corticosteroids, surfactant, and inhaled nitric oxide. METHODS: A single-center retrospective cohort study of neonates born from 2002-2011 after prolonged (1 week or more) preterm (less than 24 weeks of gestation) rupture of membranes was performed. The primary outcome was survival to discharge. Neonates whose membranes ruptured less than 24 hours before delivery (n=116) were matched (2:1) on gestational age at birth, sex, and antenatal corticosteroid exposure with neonates whose membranes ruptured 1 week or more before delivery (n=58)...
November 2014: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/24770085/preterm-premature-rupture-of-membranes-between-14-and-24-weeks-of-gestation-outcomes-with-expectant-management
#3
Eric A Strand, Bryrony L Dougherty Schaab, Elizabeth S Moore
INTRODUCTION: The objective of this study was to examine maternal and neonatal outcomes for patients with previable and periviable preterm premature rupture of membranes (PPROM) who were expectantly managed. METHODS: Retrospective cohort study of women with PPROM admitted to the hospital between January 1, 2007, and December 31, 2011. Pre- and periviable PPROM was defined as rupture of the amniotic sac between 14 and 23+6 weeks of gestation. RESULTS: Forty-three patients were included in the study with 36 (83...
May 2014: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/25218125/outcomes-of-expectantly-managed-pregnancies-with-multiple-gestations-and-preterm-premature-rupture-of-membranes-prior-to-26-weeks
#4
Luchin F Wong, Calla M Holmgren, Robert M Silver, Michael W Varner, Tracy A Manuck
OBJECTIVE: The objective of the study was to determine the obstetric and neonatal outcomes of expectantly managed multifetal pregnancies complicated by early preterm premature rupture of membranes (PPROM) prior to 26 weeks. STUDY DESIGN: This was a retrospective cohort of all multifetal pregnancies complicated by documented PPROM occurring before 26 0/7 weeks and managed expectantly by a single maternal-fetal medicine practice between July 4, 2002, and Sept. 1, 2013...
February 2015: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/24858202/neonatal-and-early-childhood-outcomes-following-early-vs-later-preterm-premature-rupture-of-membranes
#5
RANDOMIZED CONTROLLED TRIAL
Tracy Ann Manuck, Michael Walter Varner
OBJECTIVE: Data regarding long-term outcomes of neonates reaching viability following early preterm premature rupture of membranes (PPROM; <25.0 weeks at rupture) are limited. We hypothesized that babies delivered after early PPROM would have increased rates of major childhood morbidity compared with those with later PPROM (≥25.0 weeks at rupture). STUDY DESIGN: This was a secondary analysis of a multicenter randomized controlled trial of magnesium sulfate vs placebo for cerebral palsy prevention...
September 2014: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/24265189/amnioinfusion-in-very-early-preterm-prelabor-rupture-of-membranes-amiprom-pregnancy-neonatal-and-maternal-outcomes-in-a-randomized-controlled-pilot-study
#6
RANDOMIZED CONTROLLED TRIAL
D Roberts, S Vause, W Martin, P Green, S Walkinshaw, L Bricker, C Beardsmore, N Shaw, A McKay, G Skotny, P Williamson, Z Alfirevic
OBJECTIVE: To assess short- and long-term outcomes of pregnant women with very early rupture of membranes randomized to serial amnioinfusion or expectant management, and to collect data to inform a larger, more definitive clinical trial. METHODS: This was a prospective non-blinded randomized controlled trial with randomization stratified for pregnancies in which the membranes ruptured between 16 + 0 and 19 + 6 weeks' gestation and 20 + 0 and 23 + 6 weeks' gestation to minimize the risk of random imbalance in gestational age distribution between randomized groups...
May 2014: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/23913522/transabdominal-amnioinfusion-for-improving-fetal-outcomes-after-oligohydramnios-secondary-to-preterm-prelabour-rupture-of-membranes-before-26-weeks
#7
REVIEW
Stijn Van Teeffelen, Eva Pajkrt, Christine Willekes, Sander M J Van Kuijk, Ben Willem J Mol
BACKGROUND: Preterm prelabour rupture of membranes (PPROM) before 26 weeks can delay lung development and can cause pulmonary hypoplasia, as a result of oligohydramnios. Restoring the amniotic fluid volume by transabdominal amnioinfusion might prevent abnormal lung development and might have a protective effect for neurological complications, fetal deformities and neonatal sepsis. OBJECTIVES: To assess the effectiveness of transabdominal amnioinfusion in improving perinatal outcome in women with oligohydramnios secondary to rupture of fetal membranes before 26 weeks...
2013: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/22999157/transabdominal-amnioinfusion-for-preterm-premature-rupture-of-membranes-a-systematic-review-and-metaanalysis-of-randomized-and-observational-studies
#8
REVIEW
Shay Porat, Hagai Amsalem, Prakesh S Shah, Kellie E Murphy
OBJECTIVE: The purpose of this study was to review systematically the efficacy of transabdominal amnioinfusion (TA) in early preterm premature rupture of membranes (PPROM). STUDY DESIGN: We conducted a literature search of EMBASE, MEDLINE, and ClinicalTrials.gov databases and identified studies in which TA was used in cases of proven PPROM and oligohydramnios. Risk of bias was assessed for observational studies and randomized controlled trials. Primary outcomes were latency period and perinatal mortality rates...
November 2012: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/22161365/amnioinfusion-for-preterm-premature-rupture-of-membranes
#9
REVIEW
G Justus Hofmeyr, George Essilfie-Appiah, Theresa A Lawrie
BACKGROUND: Preterm premature rupture of membranes (PPROM) is a leading cause of perinatal morbidity and mortality. Amnioinfusion aims to restore amniotic fluid volume by infusing a solution into the uterine cavity. OBJECTIVES: The objective of this review was to assess the effects of amnioinfusion for PPROM on perinatal and maternal morbidity and mortality. SEARCH METHODS: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 September 2011)...
2011: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/20608800/the-role-of-antepartum-transabdominal-amnioinfusion-in-the-management-of-oligohydramnios-in-pregnancy
#10
Fatima T Butt, Badreldeen Ahmed
OBJECTIVE: The purpose of this study was to evaluate the role of transabdominal amnioinfusion in the management of oligohydramnios with the view to improving pregnancy outcome. METHODS: The study consisted of a retrospective analysis of 17 pregnant women presenting with oligohydramnios who were treated with amnioinfusion during pregnancy in a period from 2003 to 2006. RESULTS: The mean gestational age at first treatment was 24 weeks. The mean pre-procedure deepest pool of amniotic fluid was 1...
March 2011: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/20015490/transabdominal-amnioinfusion-in-preterm-premature-rupture-of-membranes
#11
RANDOMIZED CONTROLLED TRIAL
Anshuja Singla, Poonam Yadav, Neelam B Vaid, Amita Suneja, Mohammad M A Faridi
OBJECTIVE: To evaluate the effect of transabdominal amnioinfusion on prolongation of pregnancy, and maternal and neonatal outcomes in preterm premature rupture of membranes (pPROM). METHODS: We conducted a prospective randomized controlled study of women with pPROM during singleton live pregnancy-between 26 and 33+6weeks-whose amniotic fluid index (AFI) was less than the 5th percentile. The study group underwent transabdominal amnioinfusion at admission and then weekly if their AFI fell below the 5th percentile again...
March 2010: International Journal of Gynaecology and Obstetrics
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