Preterm Premature Rupture of Membranes: Clinical Outcomes of Late-Preterm Infants-Reference-Cited by-同舟云学术

Preterm Premature Rupture of Membranes: Clinical Outcomes of Late-Preterm Infants

Published:2009-07-30 Issue:1 Volume:49 Page:60-65
ISSN:0009-9228
Container-title:Clinical Pediatrics
language:en
Short-container-title:Clin Pediatr (Phila)

Author:

Mateus Julio¹,Fox Karin²,Jain Sangeeta²,Jain Sunil³,Latta Richard⁴,Cohen Jerry⁴

Affiliation:

1. Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX, USA,

2. Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX, USA

3. Department of Pediatric Neonatology, University of Texas Medical Branch, Galveston, TX, USA

4. Department of Obstetrics and Gynecology, Abington Memorial Hospital, Abington, PA, USA

Abstract

Objective: To determine gestational age-specific neonatal outcomes of late preterm infants delivered as a consequence of premature rupture of membranes (PROM). Methods: Retrospective cohort study of infants born to women delivered electively due to preterm PROM between 340/7 and 366/7 weeks of gestation. Neonatal outcomes were compared between those delivered at 340/7 to 34 6/7 weeks, at 350/7 to 356/7 weeks, and at 36 0/7 to 366/7 weeks. Results: 192 infants were identified. The 340/7 to 346/7 week infants had significantly higher neonatal intensive care admission rate (72.5%) compared to those at 35 0/7 to 356/7 weeks (22.8%) and at 36 to 366/7 weeks (17.8%) ( P < .05). Neonatal respiratory distress syndrome was significantly higher at 340/7 to 346/7 weeks (35.4%) compared with 350/7 to 356/7 week and 360/7 to 36 6/7 week infants (10.5% and 4.1%; P < .05). The longest hospitalization occurred in the 340/7 to 346/7 week infants (248.5 ± 20.0 hours). Conclusion: Substantial short-term morbidity occurred in late preterm infants. The greatest number of complications affected infants born at 340/7 to 346/7 weeks.

Publisher

SAGE Publications

Subject

Pediatrics, Perinatology and Child Health

Link

http://journals.sagepub.com/doi/pdf/10.1177/0009922809342460

Reference17 articles.

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2. Intentional Delivery Versus Expectant Management With Preterm Ruptured Membranes at 30–34 Weeks' Gestation

3. Induction versus expectant management in premature rupture of the membranes with mature amniotic fluid at 32 to 36 weeks: A randomized trial

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