Perinatal outcomes after previable preterm premature rupture of membranes before 24 weeks of gestation

Kiver, Verena; Boos, Vinzenz; Thomas, Anke; Henrich, Wolfgang; Weichert, Alexander

doi:10.1515/jpm-2016-0341

Cited by 31 publications

(19 citation statements)

References 35 publications

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“…Similar association of improved survival with PPROM at >20 weeks was demonstrated by two other studies as well [18,19]. However, a recent study [8] demonstrated that there was no significant association between neonatal survival and GA at PPROM. This might be the result of type II error due to sample size of the study.…”

Section: Neonatal Survival To Dischargesupporting

confidence: 80%

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Perinatal Outcomes of Pre-viable Preterm Premature Rupture of Membranes

Mukhtar¹

2018

J Gyn Obs Bul

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Objective: To assess the maternal and neonatal outcomes after expectant management of pre-viable preterm premature rupture of membranes (PPROM). Data Sources:We searched PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Scopus, and Web of Science databases for publications from 2008 to 2018 and ClinicalTrials.gov. Methods of Study Selection:All studies that reported pregnancy outcomes of pre-viable PPROM were included. Excluded were the review articles, case reports, and studies that exclusively included patients with a particular characteristic (oligohydramnios/prolonged latency), those evaluating the effect of a specific intervention, or the ones providing aggregate data from which information for patients with PPROM <24 weeks could not be delineated.Tabulation, Integration, and Results: Eighteen studies were reviewed that examined the outcomes of 1,372 pre-viable PPROM women following expectant management. Data was extracted in the form of predesigned tables. We used Microsoft Excel to integrate the results of included studies. The overall neonatal survival to discharge was 41.5%. Of these, 48.8% neonates survived without a major morbidity. Respiratory morbidity was the most common morbidity among surviving neonates: 49.5% neonates suffered from respiratory distress syndrome, 30% from bronchopulmonary dysplasia, and 10.7% from pulmonary hypoplasia. Chorioamnionitis was the most frequently observed maternal morbidity, complicating 49.3% pre-viable PPROM. The predictors for favorable outcomes included a later gestational age at PPROM and delivery, absence of oligohydramnios, and iatrogenic PPROM. Of note, 21.6% of pre-viable PPROM women opted for the termination of pregnancy. Conclusion:The neonatal survival rate of pre-viable PPROM after expectant management is 4 of 10 affected neonates, and nearly half of them survive without any major morbidity. Maternal morbidity remains substantial, however, serious maternal complications are rare.

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Section: Neonatal Survival To Dischargesupporting

confidence: 80%

“…Of these, 38 were selected for full text article review. Finally, 18 articles [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] were included in the review. Figure 1 shows the whole process of study selection, using PRISMA flow diagram [26].…”

Section: Resultsmentioning

confidence: 99%

Perinatal Outcomes of Pre-viable Preterm Premature Rupture of Membranes

Mukhtar¹

2018

J Gyn Obs Bul

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“…These criteria had already been highlighted individually in previous studies, particularly for fetal presentation and amniotic fluid quantity . The choice of gestational age threshold was based on the literature . PPROM with complications accounted for 6.4% of the patients in our study.…”

Section: Discussionmentioning

confidence: 94%

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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“…PROM which occurs prior to 37 weeks of gestation is referred as preterm premature rupture of membranes (PPROM), whereas PROM, which occurs after 37 weeks of gestation, is referred as term premature rupture of membranes. The latent period is defined as the duration from rupture of the membranes until the onset of true labor (1) .…”

Section: Introductionmentioning

confidence: 99%

Incidence Rate, Risk Factors and Outcome of Premature Rupture of Membranes (PROM) at Zagazig University Hospitals

Maaboud

Nossair

Ali

et al. 2021

The Egyptian Journal of Hospital Medicine

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Background: Premature rupture of membranes (PROM) is a common pregnancy complication and is associated with significant risks of fetal and neonatal morbidity and mortality. Objective: This study aimed to measure the incidence rate of preterm premature rupture of membranes (PPROM) among pregnant women attending Zagazig University Hospital, and to identify the risk factors associated with PROM and fetal/neonatal outcomes. Methods: This cross-sectional study was conducted at Zagazig University Hospitals. It included 69 women with PROM. The study was conducted from July 2019 to January 2020. All patients were subjected to detailed history taking, general examination and laboratory investigations. Results: There were 46 mother gave birth of healthy babies with good Apgar score (66.7%), 15 with babies needed O2 incubators (21.7%) and 8 with babies that were put on ventilators (11.6%). There were 68 mothers with no bad outcomes and 1 with chorioamnionitis. The risk factors of the cases showed that there were 15 with no risk factor (21.7%), 8 with previous PROM (11.6%), 6 with multi pregnancy (8.7%), 12 with antepartum (17.4%), 16 with infections (23.2%) and 12 with chronic diseases (17.4%). Conclusions: we concluded that younger, illiterate parturient women were found to be provoking factors to increased PPROM. Such hazards may affect both maternal and neonatal outcome such as infection, maternal distress, fetal distress, increase operative delivery, as well as need for neonatal intensive care unit care in more than 50% of the neonates.

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Perinatal outcomes after previable preterm premature rupture of membranes before 24 weeks of gestation

Abstract: Even with limited treatment options, overall neonatal survival is increasing. However, neonatal mortality and morbidity rates remain high. The gestational age at membrane rupture does not predict neonatal outcome.

Cited by 31 publications

References 35 publications

Perinatal Outcomes of Pre-viable Preterm Premature Rupture of Membranes

Perinatal Outcomes of Pre-viable Preterm Premature Rupture of Membranes

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

Incidence Rate, Risk Factors and Outcome of Premature Rupture of Membranes (PROM) at Zagazig University Hospitals

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