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Article: Expectant management of preterm prelabour rupture of membranes - The significance of oligohydramnios at presentation

TitleExpectant management of preterm prelabour rupture of membranes - The significance of oligohydramnios at presentation
Authors
Issue Date1993
Citation
European Journal Of Obstetrics Gynecology And Reproductive Biology, 1993, v. 48 n. 2, p. 87-91 How to Cite?
AbstractIn a retrospective study, the relationship between oligohydramnios (largest amniotic fluid pocket less than 2 x 2 cm) at the time of presentation and the outcome of expectant management of patients with preterm (<35 weeks) prelabour rupture of membranes (PROM) was examined in 62 patients admitted with a confirmed diagnosis and in the absence of complications or established labour. There were no differences in the maternal age, incidence of multiparity, or additional complications between patients without (Group 1, n = 24) and with (Group 2, n = 38) oligohydramnios. However in Group 2, 44.7% of the patients developed PROM before 28 weeks and 63.2% were delivered within 48 h of assessment, in contrast to 20.8% (P < 0.05) and 12.5% (P < 0.001), respectively, in Group 1. Group 2 patients had a higher incidence of histological chorioamnionitis (55.3% vs. 29.3%, P < 0.05) and funisitis (44.7% vs. 16.7%, P < 0.02), an earlier mean gestation at delivery (29.1 ± 2.8 weeks vs. 31.5 ± 2.0 weeks, P < 0.001) and lower birth weight (1373 ± 467 g vs. 1856 ± 496 g, P < 0.001). Our results indicate that oligohydramnios at presentation of preterm PROM is an unfavourable prognostic sign in the expectant management of these pregnancies.
Persistent Identifierhttp://hdl.handle.net/10722/173194
ISSN
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLao, TTen_US
dc.contributor.authorCheung, VYTen_US
dc.date.accessioned2012-10-30T06:28:26Z-
dc.date.available2012-10-30T06:28:26Z-
dc.date.issued1993en_US
dc.identifier.citationEuropean Journal Of Obstetrics Gynecology And Reproductive Biology, 1993, v. 48 n. 2, p. 87-91en_US
dc.identifier.issn0028-2243en_US
dc.identifier.urihttp://hdl.handle.net/10722/173194-
dc.description.abstractIn a retrospective study, the relationship between oligohydramnios (largest amniotic fluid pocket less than 2 x 2 cm) at the time of presentation and the outcome of expectant management of patients with preterm (<35 weeks) prelabour rupture of membranes (PROM) was examined in 62 patients admitted with a confirmed diagnosis and in the absence of complications or established labour. There were no differences in the maternal age, incidence of multiparity, or additional complications between patients without (Group 1, n = 24) and with (Group 2, n = 38) oligohydramnios. However in Group 2, 44.7% of the patients developed PROM before 28 weeks and 63.2% were delivered within 48 h of assessment, in contrast to 20.8% (P < 0.05) and 12.5% (P < 0.001), respectively, in Group 1. Group 2 patients had a higher incidence of histological chorioamnionitis (55.3% vs. 29.3%, P < 0.05) and funisitis (44.7% vs. 16.7%, P < 0.02), an earlier mean gestation at delivery (29.1 ± 2.8 weeks vs. 31.5 ± 2.0 weeks, P < 0.001) and lower birth weight (1373 ± 467 g vs. 1856 ± 496 g, P < 0.001). Our results indicate that oligohydramnios at presentation of preterm PROM is an unfavourable prognostic sign in the expectant management of these pregnancies.en_US
dc.languageengen_US
dc.relation.ispartofEuropean Journal of Obstetrics Gynecology and Reproductive Biologyen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshFemaleen_US
dc.subject.meshFetal Membranes, Premature Rupture - Complications - Therapyen_US
dc.subject.meshHumansen_US
dc.subject.meshOligohydramnios - Complicationsen_US
dc.subject.meshPregnancyen_US
dc.subject.meshPregnancy Outcomeen_US
dc.subject.meshPrognosisen_US
dc.subject.meshRetrospective Studiesen_US
dc.titleExpectant management of preterm prelabour rupture of membranes - The significance of oligohydramnios at presentationen_US
dc.typeArticleen_US
dc.identifier.emailCheung, VYT:vytc@hku.hken_US
dc.identifier.authorityCheung, VYT=rp01323en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/0028-2243(93)90245-8-
dc.identifier.pmid8491336-
dc.identifier.scopuseid_2-s2.0-0027412430en_US
dc.identifier.volume48en_US
dc.identifier.issue2en_US
dc.identifier.spage87en_US
dc.identifier.epage91en_US
dc.identifier.isiWOS:A1993KX06400001-
dc.identifier.scopusauthoridLao, TT=7005722132en_US
dc.identifier.scopusauthoridCheung, VYT=7005439023en_US

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