Periviable Preterm Premature Rupture of Membranes: a Retrospective Study On Determinants of Neonatal Mortality
Abstract
Purpose: The present study aimed to determine the risk factors for fetal and neonatal mortality in the context of Periviable Preterm Premature Rupture of Membranes PPROM .Patients and Methods: This was a retrospective cohort study conducted at perinatology department of Zekai Tahir Burak Research and Training Hospital. The study population consisted of patients with PPROM before completing the 23rd gestational week were opted for expectant management. Maternal and Neonatal characteristics were recorded. Multivariate Logistic Regression with backward elimination is performed to investigate the effect of certain parameters on neonatal mortality.Results: In multivariate logistic regression model, gestational age
References
- Waters TP, Mercer B. Preterm PROM –prediction, prevention, principles. Clin Obstet Gynecol 2011;54:307–12. [CrossRef]
- Manuck TA, Eller AG, Esplin MS, Stoddard GJ, Varner MW, Silver RM. Outcomes of expectantly managed preterm premature rupture of membranes occurring before 24 weeks of gestation. Obstet Gynecol 2009;114:29–37. [CrossRef]
- Dinsmoor MJ, Bachman R, Haney EI, Goldstein M, Mackendrick W. Outcomes after expectant management of extremely preterm premature rupture of the membranes. Am J Obstet Gynecol 2004;190:183–7. [CrossRef]
- Ramsey PS, Lieman JM, Brumfield CG, Carlo W. Chorioamnionitis increases neonatal morbidity in pregnancies complicated by preterm premature rupture of membranes. Am J Obstet Gynecol 2005;192:1162–6. [CrossRef]
- Hadi HA, Hodson CA, Strickland D. Premature rupture of the membranes between 20 and 25 weeks’ gestation: Role of amniotic fluid volume in perinatal outcome. Am J Obstet Gynecol 1994;170:1139–44. [CrossRef]
- Kilbride HW, Yeast J, Thibeault D. Defining limits of survival: lethal pulmonary hypoplasia after midtrimester premature rupture of membranes. Am J Obstet Gynecol 1996;175:675–81. [CrossRef]
- Shumway JB, Al-Malt A, Amon E, Cohlan B, Amini S, Abboud M, Winn HN. Impact of oligoamnios on maternal and perinatal outcomes of spontaneous premature rupture of the membranes at 18–28 weeks. J Matern Fetal Med 1999;8:20–3. [CrossRef]
- Muris C, Girard B, Creveuil C, Durin L, Herlicoviez M, Dreyfus M. Management of premature ruptureof membranes before 25 weeks. Eur J Obstet Gynecol Reprod Biol 2007;131:163–8. [CrossRef]
- Costeloe K, Hennessy E, Gibson AT, Marlow N, Wilkinson AR. The EPICure study: outcomes to discharge from hospital for infants born at the threshold of viability. Pediatrics 2000;106:659–71. [CrossRef]
- Herber-Jonat S, Schulze A, Kribs A, Roth B, Lindner W, Pohlandt F. Survival and major neonatal complications in infants born between 22 and 24 6/7 weeks of gestation (1999–2003). Am J Obstet Gynecol 2006;195:16–22. [CrossRef]
- Falk SJ, Campbell LJ, Lee-Parritz A, Cohen AP, Ecker J, Wilkins-Haug L, Lieberman E. Expectant management in spontaneous preterm premature rupture of membranes between 14 and 24 weeks’ gestation. J Perinatol 2004;24:611–6. [CrossRef]
- Chauleur C, Rochigneux S, Seffert P, Chene G, Billiemaz K, Collet F. Neonatal outcomes and four-year follow-up after spontaneous or iatrogenic preterm prelabor rupture of membranes before 24 weeks. Acta Obstet Gynecol Scand 2009;88:801–6. [CrossRef]
- Verma U, Goharkhay N, Beydoun S. Conservative management of preterm premature rupture of membranes between 18 and 23 weeks of gestation –maternal and neonatal outcome. Eur J Obstet Gynecol Reprod Biol 2006;128:119–24. [CrossRef]
- Pristauz G, Bauer M, Maurer-Fellbaum U, Rotky-Fast C, Bader AA, Haas J, Lang U. Neonatal outcome and two-year follow-up after expectant management of second trimester rupture of membranes. Int J Gynaecol Obstet 2008;101:264–8. [CrossRef]
- Camus M, Khadam L, Iloki LH, Galli-Douani D. Analysis of 42 membrane ruptures during the second pregnancy trimester. J Gynecol Obstet Biol Reprod (Paris) 1989;18:765–75.
PERIVIABL PRETERM PREMATÜR MEMBRAN RÜPTÜRÜ: NEONATAL MORTALITE BELİRTEÇLERİNİN RETROSPEKTIF OLARAK İNCELENMESI
Abstract
Amaç: Bu çalışmada, periviabl Preterm Prematür Membran Rüptürü PPROM bağlamında fetal ve neonatal mortalite için risk faktörlerinin belirlenmesi amaçlanmıştır.Hastalar ve Yöntem: Bu retrospektif, gözlemsel, olgu serisi çalışma, Zekai Tahir Burak Araştırma ve Eğitim Hastanesi Perinatoloji Kliniği’nde gerçekleştirildi. Çalışma popülasyonu, 23. gebelik haftasından önce PPROM tanısı konan ve izlem tedavisini seçen hastalardan oluşmaktaydı. Maternal ve neonatal özellikler kaydedildi. Lojistik regresyon analizi ile bazı parametrelerin yenidoğan mortalitesi üzerine olan etkisi araştırılmıştır.Bulgular: Lojistik regresyon modelinde, PPROM başlangıcında gebelik yaşı
References
- Waters TP, Mercer B. Preterm PROM –prediction, prevention, principles. Clin Obstet Gynecol 2011;54:307–12. [CrossRef]
- Manuck TA, Eller AG, Esplin MS, Stoddard GJ, Varner MW, Silver RM. Outcomes of expectantly managed preterm premature rupture of membranes occurring before 24 weeks of gestation. Obstet Gynecol 2009;114:29–37. [CrossRef]
- Dinsmoor MJ, Bachman R, Haney EI, Goldstein M, Mackendrick W. Outcomes after expectant management of extremely preterm premature rupture of the membranes. Am J Obstet Gynecol 2004;190:183–7. [CrossRef]
- Ramsey PS, Lieman JM, Brumfield CG, Carlo W. Chorioamnionitis increases neonatal morbidity in pregnancies complicated by preterm premature rupture of membranes. Am J Obstet Gynecol 2005;192:1162–6. [CrossRef]
- Hadi HA, Hodson CA, Strickland D. Premature rupture of the membranes between 20 and 25 weeks’ gestation: Role of amniotic fluid volume in perinatal outcome. Am J Obstet Gynecol 1994;170:1139–44. [CrossRef]
- Kilbride HW, Yeast J, Thibeault D. Defining limits of survival: lethal pulmonary hypoplasia after midtrimester premature rupture of membranes. Am J Obstet Gynecol 1996;175:675–81. [CrossRef]
- Shumway JB, Al-Malt A, Amon E, Cohlan B, Amini S, Abboud M, Winn HN. Impact of oligoamnios on maternal and perinatal outcomes of spontaneous premature rupture of the membranes at 18–28 weeks. J Matern Fetal Med 1999;8:20–3. [CrossRef]
- Muris C, Girard B, Creveuil C, Durin L, Herlicoviez M, Dreyfus M. Management of premature ruptureof membranes before 25 weeks. Eur J Obstet Gynecol Reprod Biol 2007;131:163–8. [CrossRef]
- Costeloe K, Hennessy E, Gibson AT, Marlow N, Wilkinson AR. The EPICure study: outcomes to discharge from hospital for infants born at the threshold of viability. Pediatrics 2000;106:659–71. [CrossRef]
- Herber-Jonat S, Schulze A, Kribs A, Roth B, Lindner W, Pohlandt F. Survival and major neonatal complications in infants born between 22 and 24 6/7 weeks of gestation (1999–2003). Am J Obstet Gynecol 2006;195:16–22. [CrossRef]
- Falk SJ, Campbell LJ, Lee-Parritz A, Cohen AP, Ecker J, Wilkins-Haug L, Lieberman E. Expectant management in spontaneous preterm premature rupture of membranes between 14 and 24 weeks’ gestation. J Perinatol 2004;24:611–6. [CrossRef]
- Chauleur C, Rochigneux S, Seffert P, Chene G, Billiemaz K, Collet F. Neonatal outcomes and four-year follow-up after spontaneous or iatrogenic preterm prelabor rupture of membranes before 24 weeks. Acta Obstet Gynecol Scand 2009;88:801–6. [CrossRef]
- Verma U, Goharkhay N, Beydoun S. Conservative management of preterm premature rupture of membranes between 18 and 23 weeks of gestation –maternal and neonatal outcome. Eur J Obstet Gynecol Reprod Biol 2006;128:119–24. [CrossRef]
- Pristauz G, Bauer M, Maurer-Fellbaum U, Rotky-Fast C, Bader AA, Haas J, Lang U. Neonatal outcome and two-year follow-up after expectant management of second trimester rupture of membranes. Int J Gynaecol Obstet 2008;101:264–8. [CrossRef]
- Camus M, Khadam L, Iloki LH, Galli-Douani D. Analysis of 42 membrane ruptures during the second pregnancy trimester. J Gynecol Obstet Biol Reprod (Paris) 1989;18:765–75.
There are 15 citations in total.
Details
| Primary Language | English |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | March 1, 2019 |
| Published in Issue | Year 2019Issue: 1 |