Premature rupture of membranes at 34 to 37 weeks' gestation: aggressive versus conservative management.

Autor: Naef RW 3rd; Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, USA., Allbert JR, Ross EL, Weber BM, Martin RW, Morrison JC
Jazyk: angličtina
Zdroj: American journal of obstetrics and gynecology [Am J Obstet Gynecol] 1998 Jan; Vol. 178 (1 Pt 1), pp. 126-30.
DOI: 10.1016/s0002-9378(98)70638-6
Abstrakt: Objective: Our purpose was to compare induction of labor with preterm rupture of membranes between 34 and 37 weeks' gestation with expectant management.
Study Design: In this prospective investigation 120 gravid women at > or = 34 weeks 0 days and < 36 weeks 6 days of gestation were randomized to receive oxytocin induction (n = 57) or observation (n = 63).
Results: Estimated gestational age at rupture of membranes (34.3 +/- 1.4 weeks vs 34.5 +/- 1.4 weeks) and ultrasonographically estimated fetal weight (2230 +/- 321 gm vs 2297 +/- 365 gm) were equivalent between groups (not significant). Chorioamnionitis occurred more often (16% vs 2%, p = 0.007), and maternal hospital stay (5.2 +/- 6.8 days vs 2.6 +/- 1.6 days, p = 0.006) was significantly longer in the control group. Neonatal sepsis was also more common in the observation group (n = 3) than among induction patients (n = 0), but the difference was not statistically significant.
Conclusion: Aggressive management of preterm premature rupture of the membranes at > or = 34 weeks 0 days of gestation by induction of labor is safe for the infant in our population and avoids maternal-neonatal infectious complications.
Databáze: MEDLINE
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