Outcomes in cephalic vs noncephalic presentation in the setting of preterm premature rupture of membranes - 21/02/13
, Amy E. Lambert, MD, Jennifer David Peck, PhD, Katie M. Sutton, MD, David R. Deschamps, MD
Reprints: Jean Ricci Goodman, Loyola University Medical Center, Department of Obstetrics and Gynecology, 2160 S First Ave., Maywood, IL 60153Résumé |
Objective |
This study was conducted to determine whether fetal position at the time of preterm premature rupture of membranes (PPROM) diagnosis affects outcomes.
Study Design |
A retrospective study was designed to assess differences in outcomes between cephalic and noncephalic presentation at PPROM diagnosis between 24 and 34 weeks' gestation.
Results |
Five hundred sixty-six cases of PPROM were identified; 108 cases (19.1%) were noncephalic at time of PPROM diagnosis. The 2 groups were similar with regard to demographics. Although membrane rupture and delivery occurred earlier in the noncephalic group, there was no difference in latency between groups (cephalic group, 6.22 days vs noncephalic group, 7.85 days; P = .07). Noncephalic pregnancies were substantially more likely to be complicated by oligohydramnios, abruption, intrauterine fetal death, and infectious morbidity.
Conclusion |
Noncephalic presentation at the time of diagnosis of PPROM independently and significantly increases the risk of maternal complications in such affected pregnancies.
Le texte complet de cet article est disponible en PDF.Key words : abruption, oligohydramnios, outcome, PPROM, presentation
Plan
| The authors report no conflict of interest. |
|
| Cite this article as: Goodman JR, Lambert AE, Peck JD, et al. Outcomes in cephalic vs noncephalic presentation in the setting of preterm premature rupture of membranes. Am J Obstet Gynecol 2013;208:231.e1-8. |
Vol 208 - N° 3
P. 231.e1-231.e8 - mars 2013 Retour au numéro
Article précédent
- Neonatal brachial plexus palsy with vaginal birth after cesarean delivery: a case-control study
- Ibrahim A. Hammad, Suneet P. Chauhan, Robert B. Gherman, Joseph G. Ouzounian, James B. Hill, Alfred Z. Abuhamad
- Improving the screening accuracy for preterm labor: is the combination of fetal fibronectin and cervical length in symptomatic patients a useful predictor of preterm birth? A systematic review
- Emily A. DeFranco, David F. Lewis, Anthony O. Odibo
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?