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Management of Preterm Premature Rupture of Membranes
Clinical Obstetrics and Gynecology, 1991The variables enumerated in the preceding paragraphs and the constantly changing and improving technology in neonatal care mean that the data on which to base the best management plans of PPROM are not yet available. Rather, we must be willing to revise our approach to the treatment of this entity constantly as new information is found.
T, Asrat, T J, Garite
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ETIOLOGY OF PRETERM PREMATURE RUPTURE OF MEMBRANES
Obstetrics and Gynecology Clinics of North America, 1992Numerous factors have been indicted as playing a role in causing preterm premature rupture of membranes (PPROM). After discussing the development of the amnion and chorion, this article focuses primarily on the effects that infection, nutrition, smoking, and cervical incompetence have on the fetal membrane and the subsequent advent of PPROM.
P J, Shubert, E, Diss, J D, Iams
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Preterm premature rupture of the membranes
Obstetrics & Gynecology, 2003Preterm premature rupture of membranes (PROM) affects over 120,000 pregnancies annually in the United States and is associated with significant maternal, fetal, and neonatal risk. Management of PROM requires an accurate diagnosis as well as evaluation of the risks and benefits of continued pregnancy or expeditious delivery.
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Preterm Premature Rupture of Membranes
Obstetrical & Gynecological Survey, 1993Although the etiology of preterm premature rupture of membranes (PPROM) is probably multifactorial, recent literature has indicated that infectious processes may play an important role. The management of PPROM is still controversial, requiring individualization of care for each patient. Expectant management is increasingly advocated.
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Transabdominal amnioinfusion in preterm premature rupture of membranes
International Journal of Gynecology & Obstetrics, 2009AbstractObjectiveTo evaluate the effect of transabdominal amnioinfusion on prolongation of pregnancy, and maternal and neonatal outcomes in preterm premature rupture of membranes (pPROM).MethodsWe conducted a prospective randomized controlled study of women with pPROM during singleton live pregnancy—between 26 and 33 + 6 weeks—whose amniotic fluid ...
Anshuja, Singla +4 more
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Management of Preterm Premature Rupture of Membranes
Clinics in Perinatology, 1988In conclusion, the suggested management for PROM follows two general principles. The first principle, which is accepted by most, consists of searching for a positive history of PROM, confirming PROM (by speculum examination, pooling, positive Nitrazine testing, and ferning), and obtaining cervical and vaginal cultures (for group B streptococcus ...
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Management of Preterm Premature Rupture of the Membranes
Clinical Obstetrics and Gynecology, 1998In many cases, the management of preterm PROM will be dictated by the presence of advanced labor, intrauterine infection, placental abruption, or nonreassuring fetal testing. These patients should be delivered expeditiously, with group B streptococcus prophylaxis given where possible, and cesarean delivery reserved for routine obstetric indications ...
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Amnioinfusion for preterm premature rupture of membranes
2011Preterm premature rupture of membranes (PPROM) is a leading cause of perinatal morbidity and mortality. Amnioinfusion aims to restore amniotic fluid volume by infusing a solution into the uterine cavity.The objective of this review was to assess the effects of amnioinfusion for PPROM on perinatal and maternal morbidity and mortality.We searched the ...
G Justus, Hofmeyr +2 more
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Tocolytic Therapy in Preterm Premature Rupture of Membranes
Obstetrics and Gynecology Clinics of North America, 2020"Trials evaluating tocolytic use in preterm premature rupture of membranes (PPROM) have been small and lacked adequate power to evaluate uncommon outcomes. There still is much controversy on the benefit, length of use, route, and drug of choice among clinicians treating patients with PPROM.
Hector, Mendez-Figueroa +1 more
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Amnioinfusion with Preterm, Premature Rupture of Membranes
Clinics in Perinatology, 1992Excluding labor, the greatest risks to the fetus from preterm PROM are umbilical cord accidents and infection. Heretofore, the clinical options for the PROM patient have been limited. With the advent and refinement of amnioinfusion, the utility of expectant management may be greatly increased.
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