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Infant outcomes dismal for PPROM at 18-23 weeks. (15% in Study Survived).
LOS ANGELES -- Even with advanced neonatal intensive care, few babies born after preterm premature rupture of membranes between 18 and 23 weeks' gestation survived in a study of 101 pregnancies, and most of the survivors struggled with severe health problems, Dr. Usha Verma said at the annual meeting of the Society for Gynecologic Investigation.
Many perinatologists offer expectant management to women with preterm premature rupture of the membranes (PPROM) in the early second trimester in hopes of prolonging gestation, but management of these cases is controversial. How the physician counsels the patient is an important factor. Patients with PPROM in this time period should be told that the babies are likely to die and that "if they survive, almost every one is going to be really sick for a long time," said Dr. Verma of the University of Miami.
The study included all women who presented with PPROM between 18 and 23 weeks' gestation at his institution over a 2-year period; 15% survived.
None of 21 ...
- Tocolytics after PPROM linked to earlier delivery: may cause or initiate...
- Magazine article from: OB GYN News Boschert, Sherry June 15, 2002 700+ words
...premature rupture of membranes (PPROM) a significantly greater percentage...47% vs. 22%) and within 1 week (92% vs. 44%) of rupture...The use of tocolytics after PPROM is controversial. Guidelines...48 hours of tocolytics after PPROM. The study is one of the first...
- Midtrimester PPROM Poses Difficult Choices.
- Magazine article from: OB GYN News February 1, 2001 700+ words
...occurs between 16 and 26 weeks' gestation in his presentation...the natural outcome of PPROM at such early gestational...delivery. In midtrimester PPROM 60%-70% of patients will deliver in less than a week, and 80% in less than...the pregnancy beyond 24 weeks' gestation, then you...
- Cerclage in PPROM may be safe if no infection. (No Data to Show if Latency is...
- Magazine article from: OB GYN News Johnson, Kate May 1, 2002 700+ words
...women with a cerclage who had PPROM. Retention of the cerclage after PPROM before 34 weeks' gestation was associated...are expectantly managing PPROM cerclage patients, removing...pregnancy had ruptured at 28 weeks, and her cerclage was left...
- PPROM, Low Vitamin C Link Suspected.(preterm premature rupture of the...
- Magazine article from: Family Practice News JOHNSON, KATE May 1, 2000 700+ words
...ingestion of ascorbic acid may prevent preterm labor and PPROM [preterm premature rupture of the membranes...membranes and at 52.1 nmol/mL in 22 pregnancies with PPROM. "Preterm labor and PPROM are often accompanied by intraamniotic microbial...
- Home pregnancy kit and cervical washings may detect PPROM: small pilot...
- Magazine article from: OB GYN News Sullivan, Michele G. February 15, 2004 700+ words
...trimester. Washings in women with PPROM contained an average of 400...of 52 women: 24 of them had PPROM as confirmed by pooling of vaginal...gestational ages ranged from 24 to 34 weeks. Only women with singleton...washings of 19 of the 24 women with PPROM. The test was negative in 27...
- Antibiotic Tx beneficial in PPROM, choice of agent is controversial: reduces...
- Magazine article from: OB GYN News Boschert, Sherry October 15, 2003 700+ words
...preterm premature rupture of membranes (PPROM) reduced the rate of chorioamnionitis...The Oracle authors recommended treating PPROM with erythromycin, which was not associated...necrotizing enterocolitis, she said. PPROM occurs in approximately 1%-3% of pregnancies...
- Cytokines may predict funisitis in PPROM. (Maternal Serum Examined).
- Magazine article from: OB GYN News Demott, Kathryn January 1, 2003 700+ words
...premature rupture of the membranes (PPROM), the fetus is at increased risk...clinical evidence of infection in PPROM patients who subsequently develop...to the university hospital with PPROM at 22-34 weeks' gestation from July 1997 to November...
- Conservative treatment of cervical dysplasia linked to rise in PPROM risk....
- Magazine article from: OB GYN News Sullivan, Michele G. July 1, 2003 700+ words
...67 women later experienced PPROM leading to delivery; 15 of...7 times increased risk of PPROM leading to delivery before 37 weeks' gestation relative to the...was no increase in the risk of PPROM after laser ablation. The increased...