Document Detail

Spontaneous preterm labor and premature rupture of membranes at late preterm gestations: to deliver or not to deliver.
MedLine Citation:
PMID:  16731284     Owner:  NLM     Status:  MEDLINE    
Nationwide the American College of Obstetricians and Gynecologists noted in 1995 that the survival rate for newborns at 34 weeks is within 1% of those born at or beyond 37 weeks. Newborn major morbidity is slightly but significantly increased from 34(0) to 36(6) compared with 37 or greater weeks. These data form the basis for and reflect the perinatal outcomes associated with the standardized obstetric practices of effecting delivery for women with amnion rupture and also of not attempting tocolysis for preterm labor at or beyond 34(0) weeks gestation. Pragmatically, a prospective randomized management trial of women at late preterm gestation (34(0) to 36(6)) and with spontaneous preterm labor or amnion rupture would require multi-institutional support to achieve a required study population.
John C Hauth
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in perinatology     Volume:  30     ISSN:  0146-0005     ISO Abbreviation:  Semin. Perinatol.     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-05-29     Completed Date:  2006-10-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7801132     Medline TA:  Semin Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  98-102     Citation Subset:  IM    
Department of Obstetrics and Gynecology, University of Alabama at Birmingham, USA.
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MeSH Terms
Fetal Membranes, Premature Rupture* / epidemiology
Gestational Age*
Infant Mortality
Infant, Newborn
Infant, Premature
Obstetric Labor, Premature* / epidemiology
Pregnancy Outcome
Risk Factors
Survival Rate
Tocolytic Agents / therapeutic use
United States / epidemiology
Reg. No./Substance:
0/Tocolytic Agents

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