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Cerclage can remain in place after PPROM: no difference in outcomes.(Obstetrics)
ATLANTA -- Preterm premature rupture of the membranes does not necessarily require removal of a cerclage, Dr. Mureena A. Turnquest Wells said at a conference on high-risk obstetrics sponsored by Symposia Medicus.
After the publication in 1994 of a small study linking premature preterm rupture of the membranes (PPROM) in the presence of a cerclage with a 70% neonatal mortality rate, primarily from sepsis, removal became routine (Obstet. Gynecol. 84[5]:823-26, 1994).
But more recent data suggest that, with current obstetric practice, no difference in neonatal or maternal outcome is seen if the cerclage is left in place, said Dr. Turnquest Wells, director of maternal-fetal medicine and genetics services, St. Mary's Medical Center, Evansville, Ind.
Antibiotics have been used routinely after PPROM since a study by the Maternal-Fetal Medicine Units Network of the National Institute of Child Health and ...
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