Antibiotics for prelabour rupture of membranes at or near term

Wojcieszek, Aleena M; Stock, Owen; Flenady, Vicki

doi:10.1002/14651858.cd001807.pub2

Cited by 49 publications

(38 citation statements)

References 27 publications

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“…A meta-analysis of 5 RCTs including 2699 women who were randomized to antibiotic group vs control group shows that antibiotic prophylaxis for term or near-term PROM is not associated with maternal or neonatal benefits. However, subgroup analysis of women with latency longer than 12 hours shows that women who received prophylactic antibiotics experience lower rates of chorioamnionitis and endometritis (risk ratio (RR) = 0.49, 95% CI = 0.27-0.91) and 0.12 (95% CI = 0.02-0.62), respectively [56]. Nevertheless, data from a local RCT conducted in Egypt in 2014 did not show statistical differences in the incidence of maternal infection or neonatal sepsis when prophylactic antibiotics were administered at or beyond 36 weeks of gestation [57].…”

Section: At 37 Weeks Of Gestation or Beyondmentioning

confidence: 99%

Middle-East OBGYN Graduate Education (MOGGE) Foundation Practice Guidelines: Prelabor rupture of membranes; Practice guideline No. 01-O-19

Shazly

Ahmed

Radwan

et al. 2020

Journal of Global Health

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P relabor rupture of membranes (PROM) refers to rupture of membranes prior to the onset of labor. PROM is a common obstetric disorder that may be associated with significant maternal, fetal and neonatal complications. Diagnosis and management of PROM have been thoroughly investigated in the literature. Nevertheless, many decisions are still debatable. Practice in low-resource settings is prone to several challenges including resource, training, and awareness barriers. This article provides review of the literature and analysis of evidence of management of PROM in general, with attention to debates particularly in low-resource settings. INTRODUCTION | KNOWLEDGE Definitions Although the classic term "premature rupture of membranes" has been recently modified to "prelabor rupture of membranes", the abbreviation (PROM) as well as the definition of the condition have not been

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Section: At 37 Weeks Of Gestation or Beyondmentioning

confidence: 99%

Middle-East OBGYN Graduate Education (MOGGE) Foundation Practice Guidelines: Prelabor rupture of membranes; Practice guideline No. 01-O-19

Shazly

Ahmed

Radwan

et al. 2020

Journal of Global Health

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“…15,16 The complication risk of PROM is increased if the mother has previous PROM, low body mass index, concomitant infection of the gestational tissues, and longer the time elapsed between the rupture and delivery. 17 PROM has essential significance for the further fate of pregnancy. Late diagnosis means wasted opportunity of appropriate intervention.…”

Section: B a C K G R O U N Dmentioning

confidence: 99%

Aetiological Factors and Foetomaternal Outcome in PROM

Atrolia¹,

Ekka²,

Tirkey³

et al. 2020

jemds

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A B S T R A C T BACKGROUNDPremature rupture of membrane (PROM) refers to the disruption of foetal membranes before the beginning of labour, resulting in spontaneous leakage of amniotic fluid. Homeyr, GJ et al in his study "Amnio infusion for third trimester preterm rupture of membranes", march 2014 states that premature rupture of membranes (PROM), or pre-labour rupture of membranes, is a condition occurring in pregnancy and defined it as rupture of membranes (breakage of the amniotic sac), commonly called breaking of the mother's water (s), more than one hour before the onset of labour. METHODSThe present study was carried out in the Department of Obstetrics and Gynaecology of Rajendra Institute of Medical Sciences (RIMS), Ranchi, during from April 2017 to October 2018. A total 595 cases were studied. The cases were divided into two groups, Study Group-195 cases and Control Group-400 cases. RESULTSVarious factors were studied and analysed. Incidence of PROM in the present study was 7.49%. Out of 195 cases 68% were term PROM and 32% were preterm PROM. Mean age in the study group was 23 yrs. Risk factors associated with PROM in most of the cases was unknown (52%). Other causes were anaemia 34%, cervicovaginal infections 16%, malpresentation 10%, multiple gestation 3.5%, prior cervical surgery 1%, history of fall 1% PROM following coitus was 1.5%. In the present study the correlation between CRP and clinical chorioamnionitis was significant. Caesarean section was done was done in 19% cases in study group. There were 3 % cases of chorioamnionitis in study group. Out of 10 patients in the study group, maximum patients had puerperal sepsis (4 patients-40%) followed by UTI (30%), wound infection (20%) and breast engorgement (10%). CONCLUSIONSPremature infant puts immense burden on the economy and health care resources of the country. Therefore, management of PPROM requires accurate diagnosis and evaluation of the risks and benefits of continued pregnancy or expeditious delivery. Once PROM is diagnosed, it is important to weigh the risk of PROM and prematurity and make the right choice for conservative management or active interventions. Adequate antenatal care should be advocated so that appropriate risk assessment can be done, and intervention provided where applicable. Neonatal units should also be equipped to be able to render necessary care for these preterm neonates thereby reducing the morbidity and mortality associated with PPROM.

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“…Кохрановский метаанализ 2014 г. не выявил существенных различий между группами пациенток, получавшими и не получавшими антибиотики в связи с преждевременным излитием околоплодных вод при родах в срок или близких к сроку [23]. Отсутствие антибиотикопрофилактики не увеличивало риск развития хориоамнионита, эндометрита или раневой инфекции у матери, не повышало частоту раннего неонатального сепсиса [23].…”

Section: рекомендуется введение антибиотика в родах пациенткам-носитеunclassified

Prevention of septic complications in obstetrics: The guidelines of the Ministry of Health of the Russian Federation and the World Health Organization 2015

Belokrinitskaya¹,

Frolova²

2016

Ross. vestn. akush.-ginekol.

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Antibiotics for prelabour rupture of membranes at or near term

Cited by 49 publications

References 27 publications

Middle-East OBGYN Graduate Education (MOGGE) Foundation Practice Guidelines: Prelabor rupture of membranes; Practice guideline No. 01-O-19

Middle-East OBGYN Graduate Education (MOGGE) Foundation Practice Guidelines: Prelabor rupture of membranes; Practice guideline No. 01-O-19

Aetiological Factors and Foetomaternal Outcome in PROM

Prevention of septic complications in obstetrics: The guidelines of the Ministry of Health of the Russian Federation and the World Health Organization 2015

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