دورية أكاديمية
Planned early birth versus expectant management for women with preterm prelabour rupture of membranes prior to 37 weeks' gestation for improving pregnancy outcome (Intervention Review)
| العنوان: | Planned early birth versus expectant management for women with preterm prelabour rupture of membranes prior to 37 weeks' gestation for improving pregnancy outcome (Intervention Review) |
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| المؤلفون: | Bond, Diana M., Middleton, Philippa, Levett, Kate M. (S30077), Ham, David P. van der, Crowther, Caroline A., Buchanan, Sarah L., Morris, Jonathan M. |
| المساهمون: | National Institute of Complementary Medicine (Host institution) |
| بيانات النشر: | U.K., Wiley & Sons |
| سنة النشر: | 2017 |
| المجموعة: | University of Western Sydney (UWS): Research Direct |
| مصطلحات موضوعية: | XXXXXX - Unknown, pregnancy, childbirth, premature labor |
| الوصف: | Background Current management of preterm prelabour rupture of the membranes (PPROM) involves either initiating birth soon after PPROM or, alternatively, adopting a ’wait and see’ approach (expectant management). It is unclear which strategy is most beneficial for mothers and their babies. This is an update of a Cochrane review published in 2010 (Buchanan 2010). Objectives To assess the effect of planned early birth versus expectant management for women with preterm prelabour rupture of the membranes between 24 and 37 weeks’ gestation for fetal, infant and maternal well being. Search methods We searched Cochrane Pregnancy and Childbirth’s Trials Register (30 September 2016), and reference lists of retrieved studies. Selection criteria Randomised controlled trials comparing planned early birth with expectant management for women with PPROM prior to 37 weeks’ gestation. We excluded quasi-randomised trials. Data collection and analysis Two review authors independently evaluated trials for inclusion into the review and for methodological quality. Two review authors independently extracted data. We checked data for accuracy. We assessed the quality of evidence using the GRADE approach. Main results We included 12 trials in the review (3617 women and 3628 babies). For primary outcomes, we identified no clear differences between early birth and expectant management in neonatal sepsis (risk ratio (RR) 0.93, 95% confidence interval (CI) 0.66 to 1.30, 12 trials, 3628 babies, evidence graded moderate), or proven neonatal infection with positive blood culture (RR 1.24, 95% CI 0.70 to 2.21, seven trials, 2925 babies). However, early birth increased the incidence of respiratory distress syndrome (RDS) (RR 1.26, 95% CI 1.05 to 1.53, 12 trials, 3622 babies, evidence graded high). Early birth was also associated with an increased rate of caesarean section (RR 1.26, 95% CI 1.11 to 1.44, 12 trials, 3620 women, evidence graded high). Assessment of secondary perinatal outcomes showed no clear differences in overall perinatal ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | |
| اللغة: | English |
| العلاقة: | Cochrane Database of Systematic Reviews--1469-493X Vol. 3 No. CD004735 |
| DOI: | 10.1002/14651858.CD004735.pub4 |
| الإتاحة: | https://doi.org/10.1002/14651858.CD004735.pub4Test http://handle.westernsydney.edu.au:8081/1959.7/uws:39277Test |
| رقم الانضمام: | edsbas.8271B83B |
| قاعدة البيانات: | BASE |
| DOI: | 10.1002/14651858.CD004735.pub4 |
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