Infectious morbidity of speculum versus digital examinations in preterm prelabor rupture of membranes: a systematic review and meta-analysis
| Autor: | Mark A Turrentine, Sara M. Moufarrij, Archana Ayyar |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Fetal Membranes
Premature Rupture medicine.medical_specialty Obstetrics business.industry Infant Newborn Obstetrics and Gynecology Surgical Instruments Chorioamnionitis Pregnancy Meta-analysis Pediatrics Perinatology and Child Health medicine Humans Rupture of membranes Female Morbidity Digital examination Endometritis business |
| Zdroj: | The Journal of Maternal-Fetal & Neonatal Medicine. 35:8905-8911 |
| ISSN: | 1476-4954 1476-7058 |
| DOI: | 10.1080/14767058.2021.2006628 |
| Popis: | To estimate the effect of speculum examination only versus digital cervical examination on maternal infectious morbidity in women with preterm prelabor rupture of membranes by performing a systematic review and meta-analysis.We explored MEDLINE, Scopus, Embase, CINAHL, ClinicalTrials.gov and Cochrane Central Register of Controlled Trials for studies comparing the rate of a composite maternal infectious morbidity (either chorioamnionitis, endometritis or both) in women with preterm prelabor rupture of membranes that underwent a speculum only versus digital cervical examination at the time of diagnosis. Two reviewers separately ascertained studies, obtained data, and gauged study quality. The rate of a composite maternal infectious morbidity (either chorioamnionitis, endometritis or both) were compared and odds ratios (ORs) with 95% confidence intervals (CIs) were estimated.Four cohort studies, reporting on 1213 women were identified. The median point prevalence of the composite maternal infectious morbidity was 26% (interquartile range 15-35%) in women who had a speculum examination only compared to 33% (interquartile range 22-42%) in women who underwent a digital examination. The overall maternal composite infectious morbidity rate in women that had a speculum examination only was less compared to women that had undergone a digital examination (pooled OR 0.75, 95% CI 0.58-0.98,Speculum examination only in women with preterm prelabor rupture of membranes is associated with less maternal infectious morbidity and longer latency periods. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|