| Preterm premature rupture of membranes complicating twin pregnancy: management considerations. | |
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MedLine Citation:
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PMID: 21508702 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Preterm premature rupture of membranes (PPROM) is more prevalent in twin gestations and is major contributor to preterm birth. The management of PPROM in twin pregnancies does not differ significantly from that of singletons. In general, antenatal steroids, latency antibiotics, magnesium sulpfate for neuroprotection, and tocolysis are all potential interventions to consider when PPROM complicates a twin gestation. Certain circumstances, such as PPROM following an invasive procedure, at a previable gestational age, or in a monochorionic gestation, warrant special attention as the implications of PPROM and subsequent recommendations for these twin pregnancies may differ. In general, the approach to PPROM in twins should be individualized based on gestational age, and the maternal and neonatal risks of delaying delivery to prolong the pregnancy. |
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Authors:
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Hen Y Sela; Lynn L Simpson |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Clinical obstetrics and gynecology Volume: 54 ISSN: 1532-5520 ISO Abbreviation: Clin Obstet Gynecol Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-04-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0070014 Medline TA: Clin Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 321-9 Citation Subset: IM |
Affiliation:
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Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center New York, New York. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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