Article
Obstetrics & Gynecology
Braxton Forde, Robert Fresch, Heather Masters, Emily A. DeFranco, David N. McKinney, Sammy Tabbah, Foong Lim, Mounira Habli
Summary: This study investigated the pregnancy outcomes of patients with twin-twin transfusion syndrome who experienced prelabor rupture of membranes (PROM) after laser treatment. The results showed that earlier gestational age at PROM was associated with longer latency but lower rates of survival. However, when PROM occurred before 26 weeks of gestation and latency exceeded 48 hours, rates of neonatal survival were significantly improved.
OBSTETRICS AND GYNECOLOGY
(2022)
Article
Obstetrics & Gynecology
Esra Can, Suleyman Cemil Oglak, Fatma Olmez
Summary: This study aimed to investigate the effects of expectant management for previable PPROM before 24 weeks of gestation on maternal and fetal outcomes, as well as analyze the risk estimates of potential confounders.
JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH
(2022)
Article
Obstetrics & Gynecology
Jenny Wu, Anna E. Denoble, Jeffrey A. Kuller, Sarah K. Dotters-Katz
Summary: Studies comparing retention versus removal of cervical cerclage in women with PPROM showed potential prolongation of latency to delivery with retention, but also potential increase in maternal infectious morbidity. Limited evidence found no significant differences in neonatal outcomes, with most studies limited by retrospective nature and small sample sizes.
OBSTETRICAL & GYNECOLOGICAL SURVEY
(2021)
Article
Obstetrics & Gynecology
Martha B. Kole-White, Linda A. Nelson, Megan Lord, Phinnara Has, Erika F. Werner, Dwight J. Rouse, Erica J. Hardy
Summary: This study compared the impact of oral-only antibiotics treatment with intravenous antibiotics followed by oral antibiotics treatment on pregnancy latency in patients with preterm premature rupture of membranes. The results suggested that there was no significant difference in pregnancy latency between the oral-only antibiotics regimen and the standard regimen.
AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM
(2021)
Review
Medicine, General & Internal
Stepan Feduniw, Zuzanna Gaca, Olga Malinowska, Weronika Brunets, Magdalena Zgliczynska, Marta Wlodarczyk, Anna Wojcikiewicz, Michal Ciebiera
Summary: This study reviews the challenges and treatment options for preterm premature rupture of the membranes at the limit of viability, and proposes possible directions for future development.
Article
Medicine, General & Internal
Marion Rouzaire, Marion Corvaisier, Virginie Roumeau, Aurelien Mulliez, Feras Sendy, Amelie Delabaere, Denis Gallot
Summary: Factors predictive of short latency exceeding 48 h after PPROM include the need for tocolysis, a cervical length less than 25 mm at admission, and the existence of anamnios. Outpatient follow-up did not result in increased maternal morbidity or neonatal mortality.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Obstetrics & Gynecology
Michal Fishel Bartal, Lynda G. Ugwu, William A. Grobman, Jennifer L. Bailit, Uma M. Reddy, Ronald J. Wapner, Michael W. Varner, John M. Thorp, Steve N. Caritis, Mona Prasad, Alan T. N. Tita, George R. Saade, Dwight J. Rouse
Summary: The rate of preterm premature rupture of membranes (PROM) and the likelihood of composite maternal or neonatal morbidity after preterm PROM were similar for twin and singleton gestations in a large, diverse cohort.
OBSTETRICS AND GYNECOLOGY
(2021)
Article
Microbiology
Maria Paola Bonasoni, Andrea Palicelli, Giulia Dalla Dea, Giuseppina Comitini, Paola Nardini, Loredana Vizzini, Giuseppe Russello, Marcellino Bardaro, Edoardo Carretto
Summary: Klebsiella pneumoniae infection leading to acute chorioamnionitis caused intrauterine fetal demise in a case presented here. The mother was admitted at 18 weeks + 1 day for threatened abortion, with IUFD occurring 11 days later. The correct treatment was initiated based on fetal microbiological results, leading to full patient recovery.
Article
Obstetrics & Gynecology
Aylin Gunes, Huseyin Kiyak, Semra Yuksel, Gokhan Bolluk, Rabia Merve Erbiyik, Ali Gedikbasi
Summary: This study highlights the importance of appropriate counselling for women with previable premature rupture of membranes, focusing on maternal antenatal factors and neonatal postnatal factors. The findings suggest that maternal infection risk increases with prolonged latency period of PPROM, while increasing gestational age at birth improves survival rates and reduces neonatal complication rates. Oligo-anhydramnios and latency period of PPROM to delivery are also crucial determinants for neonatal survival and well-being. Further large-scale prospective studies are needed to confirm these findings and establish prognosis for both mother and fetus in cases of previable PPROM.
JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2022)
Article
Medicine, General & Internal
Kaci Axelson, Muhammad Osto, Rafey Rehman, Mona Fakih, Theodore Jones
Summary: Previable preterm premature rupture of membranes (PV-PPROM) is a rare phenomenon defined as membrane rupture before 24 weeks of gestation, with an estimated prevalence of 0.5% of all pregnancies. The literature lacks clear consensus on outcomes and management of DCDA PV-PPROM, especially in twin pregnancies. This case report demonstrates a successful prolongation of a first trimester DCDA PV-PPROM pregnancy, leading to the survival of both twins without major complications.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2021)
Article
Nutrition & Dietetics
Haoyue Cheng, Peihan Chi, Yan Zhuang, Xialidan Alifu, Haibo Zhou, Yiwen Qiu, Ye Huang, Libi Zhang, Diliyaer Ainiwan, Zhicheng Peng, Shuting Si, Hui Liu, Yunxian Yu
Summary: This study conducted Mendelian randomization (MR) analysis and found no causal relationship between 25-hydroxyvitamin D (25(OH)D) concentrations in the three trimesters and the risk of preterm birth (PTB), premature rupture of membranes (PROM), and preterm premature rupture of membranes (PPROM).
Review
Obstetrics & Gynecology
Pierre Delorme, Elsa Lorthe, Jeanne Sibiude, Gilles Kayem
Summary: Studies on prelabour rupture of membranes (PROM) suggest that expectant management (EM) until 37 weeks of gestation in preterm PROM can reduce overall neonatal morbidity, while active management in term PROM may lead to a shorter birth interval without lowering neonatal infection rates. Induction methods using oxytocin, PGE2, or oral misoprostol have similar maternal and neonatal outcomes.
BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY
(2021)
Article
Multidisciplinary Sciences
Marian Kacerovsky, Lenka Pliskova, Radka Bolehovska, Daniel Lesko, Romana Gerychova, Petr Janku, Petr Matlak, Ondrej Simetka, Jaroslav Stranik, Tomas Faist, Jan Mls, Peter Vescicik, Bo Jacobsson, Ivana Musilova
Summary: This study found that the presence of cervical Gardnerella vaginalis was associated with microbial invasion of the amniotic cavity (MIAC) in pregnancies with preterm prelabor rupture of membrane (PPROM), particularly without the presence of intra-amniotic inflammation (IAI).
Article
Multidisciplinary Sciences
Marian Kacerovsky, Jaroslav Stranik, Jana Matulova, Martina Chalupska, Jan Mls, Tomas Faist, Helena Hornychova, Rudolf Kukla, Radka Bolehovska, Pavel Bostik, Bo Jacobsson, Ivana Musilova
Summary: This study examined the clinical characteristics of preterm prelabor rupture of membranes (PPROM) complicated by colonization of the amniotic cavity. The presence of colonization, mainly caused by microorganisms from the lower genital tract, was associated with a weaker intra-amniotic inflammatory response.
SCIENTIFIC REPORTS
(2022)
Review
Obstetrics & Gynecology
Ana Luisa Areia, Miguel Areia, Anabela Mota-Pinto
Summary: In women with premature rupture of membranes (PPROM), procalcitonin (PCT) showed poor sensitivity and modest specificity in predicting chorioamnionitis (CA), while C-reactive protein (CRP) demonstrated better diagnostic performance. Procalcitonin does not appear to be superior to CRP in diagnosing CA in cases of preterm rupture of membranes.
ARCHIVES OF GYNECOLOGY AND OBSTETRICS
(2021)
