Document Detail


Outcomes in gestations between 20 and 25 weeks with preterm premature rupture of membranes.
MedLine Citation:
PMID:  16866051     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Preterm deliveries complicate 11% of all births within the United States. In the urban inner city population, this figure approaches approximately 18%. In one quarter to one third of these deliveries, preterm premature rupture of the membranes (PPROM) has been a causative factor. OBJECTIVE: The purpose of this study was to evaluate outcomes of pregnancies complicated by preterm premature rupture of membranes at less than or equal to 24 weeks gestation at our institution. METHODS: A retrospective review of 300 charts was performed on patients delivered at our institution from December 2003 to December 2004. Patients with gestational ages between 20 and 24 weeks with ruptured membranes were included in the study. Maternal, fetal, placental, and neonatal characteristics were reviewed. RESULTS: A total of 16 infants were delivered. Seven infants were live born. The latency period was 4 days. The mean gestational age was 22 1/7 weeks. The average life span of the live born infants was noted to be 20 days. Chorioamnionitis was demonstrated in 85% of the placental specimens; in 57% of these specimens, group B streptococcus was noted to be the etiologic agent. Of the 16 infants delivered, only one infant is still alive and neurologically intact. CONCLUSION: Various pathogens have been associated with PPROM and subsequent preterm delivery. The findings of this study suggest that within our population, group B streptococcus appears to be the primary causal agent associated with PPROM. Prevention of infection by early surveillance and patient education may help to decrease the incidence, but further investigation is warranted.
Authors:
Lola J Loeb; Kecia Gaither; Karen S Woo; Tina C Mason
Publication Detail:
Type:  Comment; Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  99     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-07-26     Completed Date:  2006-08-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  709-12     Citation Subset:  AIM; IM    
Affiliation:
Department of Ob/Gyn, Brookdale University Hospital and Medical Center, Brooklyn, NY 11212, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Fetal Membranes, Premature Rupture* / etiology
Gestational Age
Humans
Infant Mortality
Infant, Newborn
Male
Pregnancy
Pregnancy Outcome*
Premature Birth*
Stillbirth
Comments/Corrections
Comment On:
South Med J. 2006 Jul;99(7):699-700   [PMID:  16866046 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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