Active Expectant Management Prolongs Latency in Multiple Gestations Complicated by Preterm Premature Rupture of Fetal Membranes (PROM)

Autor: Fortunato, S. J., Welt, S. I., Bryant, E. C., Eggleston, M. K.
Zdroj: ETSU Faculty Works.
Druh dokumentu: Text
DOI: 10.1007/BF03258340
Popis: Previous experience has shown that an ‘active expectant management’ protocol consisting of prophylactic antibacterial agents, tocolysis and intensive fetal monitoring is superior to passive expectant management in patients with premature rupture of fetal membranes (PROM). In this study, active expectant management utilising ceftizoxime or ampicillin was compared with passive expectant management in 18 patients with multiple gestation (17 twins and 1 triplet). The mean latent phase of the active group was 10.95 days vs 0.4 days in the passive group (p = 0.0015). Ceftizoxime appeared to be superior to ampicillin with respect to certain areas of management, but there was no difference in infectious morbidity between groups.
Databáze: Networked Digital Library of Theses & Dissertations