Affordable Access

Publisher Website

Premature membrane rupture in pregnancies of less than 34 weeks gestation

Authors
Journal
Early Human Development
0378-3782
Publisher
Elsevier
Publication Date
Volume
20
Issue
2
Identifiers
DOI: 10.1016/0378-3782(89)90053-4
Keywords
  • Premature Rupture Of The Membranes
  • Infection
  • Amniocentesis
Disciplines
  • Medicine

Abstract

Abstract The outcome of pregnancies complicated by premature membrane rupture (PROM) at gestations of less than 34 weeks during a one-year period was reviewed. At presentation, infection was suspected in 12 of the 56 mothers, but confirmed in only three. All non-infected patients were then admitted to the ward and managed expectantly. Despite membrane rupture of up to 3-weeks duration, there were no episodes of proven maternal infection amongst the inpatients. Following delivery, seven babies had positive blood cultures; antenatal infection had been suspected, but not proven, in one case only. Four mothers developed postpartum infection which responded to antibiotic therapy. All mothers with infection, presenting either antenatally or postnatally, delivered within 48 h of membrane rupture and in all infected neonates the duration of membrane rupture was 72 h or less. The occurrence of sepsis was not related to the gestational age at onset of the membrane rupture. We conclude that patients with rupture of the membranes of 72 h duration or longer may be admitted for expectant management, even if presenting early in the second trimester, without an increased risk of infection.

There are no comments yet on this publication. Be the first to share your thoughts.

Statistics

Seen <100 times
0 Comments

More articles like this

Premature membrane rupture in pregnancies of less...

on Early Human Development November 1989

Delivery at 34 weeks is more costly than at 35 wee...

on The journal of maternal-fetal... July 2003

Pregnancy outcome following preterm premature rupt...

on The Australian & New Zealand j... May 1992

Long-term use of cisapride (prepulsid) in prematur...

on Journal of Pediatric Gastroent... October 1990
More articles like this..