Document Detail


The neonatal significance of selected perinatal events among infants of low birth weight. II. The influence of ruptured membranes.
MedLine Citation:
PMID:  7055174     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A retrospective study was made of 356 infants who weighed less than 2,001 grams. One hundred thirty-three babies were delivered after premature rupture of the membranes. Nonaggressive management was utilized in uncomplicated situations. Vaginal examination was prohibited. Delivery was accomplished only for infection, abnormal presentation, bleeding, labor, or maternal complications. Corticosteroids were not used. There was significantly better survival of babies who weighed 500 to 1,200 grams than of the control infants. Babies who weighed 1,201 to 2,000 grams showed no significant difference. The advantages with ruptured membranes was also noticed among babies less than 30 weeks' gestation by mothers' date and newborn assessment. The advantages were noticed primarily among infants with membranes ruptured more than 48 hours. Appropriate for gestational age (AGA) babies survived more often than small for gestational age (SGA) babies. The incidence of respiratory complications was not altered. The incidence of maternal fever was significantly higher among patients referred for care than among our own. Mortality among referred febrile patients was higher than among our own; no deaths occurred among the latter. Few cases of sepsis occurred, and there were no deaths caused purely by sepsis. The suggestion is that prolonged ruptured membranes in infants of very low birth weight confers some advantage. This advantage may be abolished if fever is prolonged, and infection may be promoted by vaginal examination.
Authors:
R P Perkins
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  142     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1982 Jan 
Date Detail:
Created Date:  1982-03-22     Completed Date:  1982-03-22     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  7-16     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Apgar Score
Breech Presentation
Female
Fetal Membranes, Premature Rupture / therapy*
Fever / therapy
Gestational Age
Humans
Infant Mortality*
Infant, Low Birth Weight*
Infant, Newborn
Infant, Newborn, Diseases
Infant, Small for Gestational Age
Obstetric Labor Complications / therapy
Pregnancy
Retrospective Studies

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


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