کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6147307 | 1594955 | 2011 | 5 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Preterm premature rupture of membranes â¥32 weeks' gestation: impact of revised practice guidelines Preterm premature rupture of membranes â¥32 weeks' gestation: impact of revised practice guidelines](/preview/png/6147307.png)
ObjectiveThe purpose of this study was to determine the perinatal impact of the 2007 American College of Obstetricians and Gynecologists Practice Bulletin on preterm premature membrane rupture.Study DesignPerinatal outcomes were compared in women who had experienced preterm membrane rupture in the 3 years before the 2007 Practice Bulletin to similar women who experienced preterm premature rupture of membranes in the 3 years after the issue and implementation of the guideline.ResultsAfter adjustment for gestational age at membrane rupture and steroids, composite severe morbidity (death, respiratory distress syndrome, assisted ventilation for â¥6 hours, sepsis, pneumonia, grade 3 or 4 intraventricular hemorrhage, or necrotizing enterocolitis) was similar by group. Infants in the “after” group experienced less pneumonia and sepsis, similar respiratory morbidity, but more labor inductions and postpartum hemorrhage.ConclusionThe new guideline significantly decreases severe neonatal infections but is associated with more frequent labor induction and postpartum hemorrhage.
Journal: American Journal of Obstetrics and Gynecology - Volume 205, Issue 4, October 2011, Pages 340.e1-340.e5