Home management of preterm premature rupture of membranes

Ayres, Allen

doi:10.1016/s0020-7292(02)00064-4

Cited by 19 publications

(16 citation statements)

References 2 publications

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“…Few studies have mentioned reliable discharge criteria for patients with PPROM. Studies had shown that home care management in a context of PPROM before 36 weeks did not modify perinatal morbidity and mortality, and allows a prolongation of the latency period . However, eligibility criteria for home care management were heterogeneous.…”

Section: Discussionmentioning

confidence: 99%

“…PPROM with complications accounted for 6.4% of the patients in our study. In the literature, retrospective studies reported various rates of 0% to 17.8% of PPROMs with home care management (Table ). Bendix et al studied the threshold of 28 weeks in conventional hospitalization, and showed that the rate of severe complications was 64.0% before 28 weeks, as opposed to 11.0% after this time .…”

Section: Discussionmentioning

confidence: 99%

“…In 2014, a Cochrane meta‐analysis included two articles that suggested that there were few differences in maternal‐fetal complications between these two management modalities Recent studies have shown that home care is as suitable as conventional hospitalization for the management of PPROM if the eligibility criteria are meticulously evaluated. The difficulty is the important heterogeneity of the eligibility criteria in those studies and there is currently no consensus as to this …”

Section: Introductionmentioning

confidence: 99%

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

Petit

Deruelle

Behal

et al. 2018

Acta Obstet Gynecol Scand

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

Petit

Deruelle

Behal

et al. 2018

Acta Obstet Gynecol Scand

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“…However, this practice is controversial because deliveries at home have been reported 13 . Moreover, obstetricians fear not managing fast enough serious complications such as home delivery, cord prolapse and placental abruption in an outpatient policy 14 .…”

Section: Introductionmentioning

confidence: 99%

“…There is currently no guideline concerning outpatient or inpatient management. In recent years, some centers have evaluated outpatient care management in PPROM and suggested that it is an acceptable option with comparable maternal and neonatal outcomes 14–17 . However, those retrospective studies had limitations, such as small sample size (18 to 61 patients) and comparison of care within the same center, which increases the risk of selection bias.…”

Section: Introductionmentioning

confidence: 99%

Outpatient versus inpatient care for preterm premature rupture of membranes before 34 weeks of gestation

Bouchghoul

Kayem

Schmitz

et al. 2019

Sci Rep

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Preterm premature rupture of membranes (PPROM) is associated with an increased risk of serious maternal, fetal, and neonatal morbidities. We compared neonatal outcomes of women with PPROM before 34+0 weeks of gestation according to inpatient or outpatient management policy. 587 women with PPROM >48 hours, 246 (41.9%) in the group with an inpatient care policy (ICP) and 341 (58.1%) in the group with an outpatient care policy (OCP), were identified in France, from 2009 to 2012. Neonatal outcomes were compared between the two groups using logistic regression. A second analysis was performed to compare inpatient care and effective outpatient care (discharge from hospital) through propensity score matching. The outcome was a neonatal composite variable including one or more of the neonatal morbidity complications. The perinatal composite outcome was 14.6% with the ICP and 15.5% with the OCP (p = 0.76). After using the 1:1 ratio propensity score matching, effective outpatient care was not associated with a significantly higher risk of the perinatal composite outcome (OR 0.88, CI 0.35 to 2.25; p = 0.80) compared with inpatient care. Outpatient care is not associated with an increased rate of obstetric or neonatal complications and can be an alternative to hospital care for women with uncomplicated PPROM.

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Planned home versus hospital care for preterm prelabour rupture of the membranes (PPROM) prior to 37 weeks' gestation

Senoun¹,

Dowswell²,

Mousa³

2009

Cochrane Database of Systematic Reviews

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Home management of preterm premature rupture of membranes

Cited by 19 publications

References 2 publications

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

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

Outpatient versus inpatient care for preterm premature rupture of membranes before 34 weeks of gestation

Planned home versus hospital care for preterm prelabour rupture of the membranes (PPROM) prior to 37 weeks' gestation

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