Navegando por Palavras-chave "PPROM"

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    Premature rupture of membranes before 28 weeks managed expectantly: Maternal and perinatal outcomes in a developing country
    (Informa Healthcare, 2012-01-01) Fernandes, G. L.; Torloni, M. R.; Hisaba, W. Jou; Klimke, D.; Novaes, J.; Sancovski, M. [UNIFESP]; Peixoto, S. [UNIFESP]; Hosp Municipal Univ; Fac Med ABC; Universidade Federal de São Paulo (UNIFESP)
    This study aimed to assess outcomes of expectant management for early preterm premature rupture of membranes (PPROM). This retrospective cohort involved 66 women with PPROM <28 weeks managed in a single hospital (1999-2006). Main outcomes were chorioamnionitis, severe maternal morbidity (maternal sepsis, haemorrhage/blood transfusion, hysterectomy or admission to intensive care unit), maternal mortality, low birth weight, preterm birth, neonatal infection and perinatal mortality. Mean gestational ages at PPROM and delivery were 21.7 +/- 4.2 and 28.4 +/- 5.9 weeks, respectively. Chorioamnionitis was diagnosed in 47%; no cases of severe maternal morbidity or mortality occurred. Stillbirth rate was 25.7% and >80% of infants were delivered before 34 weeks. Neonatal infection was diagnosed in 42.9% of the 49 live-births. Overall survival rate was 57.6%. Expectant management of PPROM <28 weeks resulted in high rates of chorioamnionitis and preterm deliveries but in over half of the cases, a live infant was discharged home.