دورية أكاديمية
Predictors of Short Latency Period Exceeding 48 h after Preterm Premature Rupture of Membranes
| العنوان: | Predictors of Short Latency Period Exceeding 48 h after Preterm Premature Rupture of Membranes |
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| المؤلفون: | Rouzaire, Marion, Corvaisier, Marion, Roumeau, Virginie, Mulliez, Aurélien, Sendy, Feras, Delabaere, Amélie, Gallot, Denis |
| المساهمون: | Service de Gynécologie CHU Clermont-Ferrand, CHU Estaing Clermont-Ferrand, CHU Clermont-Ferrand-CHU Clermont-Ferrand, Service Obstétrique CHU Clermont-Ferrand, Centre Hospitalier Emile Roux Le Puy-en-Velay (CH Le Puy-en-Velay), Unité de Biostatistiques CHU Clermont-Ferrand, Direction de la recherche clinique et de l’innovation CHU Clermont-Ferrand (DRCI), Génétique, Reproduction et Développement (GReD), Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne (UCA) |
| المصدر: | ISSN: 2077-0383 ; Journal of Clinical Medicine ; https://hal.science/hal-03824709Test ; Journal of Clinical Medicine, 2021, 10 (1), pp.150. ⟨10.3390/jcm10010150⟩. |
| بيانات النشر: | HAL CCSD MDPI |
| سنة النشر: | 2021 |
| المجموعة: | HAL Clermont Auvergne (Université Blaise Pascal Clermont-Ferrand / Université d'Auvergne) |
| مصطلحات موضوعية: | latency, outpatient, predictive factors, preterm premature rupture of membranes, [SDV.MHEP.GEO]Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics |
| الوصف: | International audience ; Background: Preterm premature rupture of membranes (PPROM) is a complication responsible for a third of preterm births. Clinical management is initially hospital based, but homecare management is possible if patients are clinically stable 48 h after PPROM. This study set out to determine factors that are predictive of short latency (delivery ≤ 7 days) exceeding 48 h after PPROM, enabling estimation of the prevalence of maternal and neonatal complications and comparison of maternal and fetal outcomes between inpatient and outpatient management. Method: This was a monocentric retrospective study conducted between 1 January 2010 and 28 February 2017 on all patients experiencing PPROM at 24 to 34 weeks + 6 days and who gave birth after 48 h. Maternal, obstetric, fetal, and neonatal variables were included in the data collected. The primary endpoint was latency, defined as the number of days between rupture of membranes and delivery. Results: 170 consecutive patients were analyzed. Short latency could be predicted by the need for tocolysis, a cervical length less than 25 mm at admission and the existence of anamnios. Outpatient follow-up was not found to lead to increased maternal morbidity or neonatal mortality. Conclusion: Our study highlights predictive factors of short latency exceeding 48 h after PPROM. Knowledge of these factors may provide justification for outpatient monitoring of patients presenting with a long cervix, absence of need for tocolysis and persistence of amniotic fluid and, thus, no risk factors after 48 h of admission. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/33406795; hal-03824709; https://hal.science/hal-03824709Test; https://hal.science/hal-03824709/documentTest; https://hal.science/hal-03824709/file/jcm-10-00150-v2.pdfTest; PUBMED: 33406795; PUBMEDCENTRAL: PMC7796089 |
| DOI: | 10.3390/jcm10010150 |
| الإتاحة: | https://doi.org/10.3390/jcm10010150Test https://hal.science/hal-03824709Test https://hal.science/hal-03824709/documentTest https://hal.science/hal-03824709/file/jcm-10-00150-v2.pdfTest |
| حقوق: | http://creativecommons.org/licenses/byTest/ ; info:eu-repo/semantics/OpenAccess |
| رقم الانضمام: | edsbas.B572F38B |
| قاعدة البيانات: | BASE |
| DOI: | 10.3390/jcm10010150 |
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