Statement of the Obstetrics and Prenatal Medicine Working Group (AGG - Preterm Birth Section) on "Outpatient Management for Pregnant Women with Preterm Premature Rupture of Membranes (PPROM)".

IF 2.4 4区 医学 Q2 OBSTETRICS & GYNECOLOGY Geburtshilfe Und Frauenheilkunde Pub Date : 2024-01-03 eCollection Date: 2024-01-01 DOI:10.1055/a-2205-1725
Mirjam Kunze, Holger Maul, Ioannis Kyvernitakis, Patrick Stelzl, Werner Rath, Richard Berger
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Abstract

Preterm premature rupture of membranes (PPROM) is one of the leading causes of perinatal morbidity and mortality. After a PPROM, more than 50% of pregnant women are delivered within 7 days. Fetal and maternal risks are primarily due to infection and inflammation, placental abruption, umbilical cord complications and preterm birth. Standard care usually consists of an expectant approach. Management includes the administration of antenatal steroids and antibiotic therapy. Patients with PPROM require close monitoring. The management of pregnant women with PPROM (inpatient vs. outpatient) is still the subject of controversial debate. The international guidelines also do not offer a clear stance. The statement presented here discusses the current state of knowledge.

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产科和产前医学工作组(AGG - 早产组)关于 "胎膜早破(PPROM)孕妇的门诊管理 "的声明。
早产胎膜早破(PPROM)是围产期发病率和死亡率的主要原因之一。发生胎膜早破后,50% 以上的孕妇会在 7 天内分娩。胎儿和产妇的风险主要来自感染和炎症、胎盘早剥、脐带并发症和早产。标准护理通常包括期待疗法。处理方法包括使用产前类固醇和抗生素治疗。胎盘早剥患者需要密切监护。对 PPROM 孕妇的管理(住院还是门诊)仍存在争议。国际指南也没有给出明确的立场。本文介绍了目前的知识状况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Geburtshilfe Und Frauenheilkunde
Geburtshilfe Und Frauenheilkunde 医学-妇产科学
CiteScore
2.50
自引率
22.20%
发文量
828
审稿时长
6-12 weeks
期刊介绍: Geburtshilfe und Frauenheilkunde (GebFra) addresses the whole field of obstetrics and gynecology and is concerned with research as much as with clinical practice. In its scientific section, it publishes original articles, reviews and case reports in all fields of the discipline, namely gynecological oncology, including oncology of the breast obstetrics and perinatal medicine, reproductive medicine, and urogynecology. GebFra invites the submission of original articles and review articles. In addition, the journal publishes guidelines, statements and recommendations in cooperation with the DGGG, SGGG, OEGGG and the Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF, Association of Scientific Medical Societies, www.awmf.org). Apart from the scientific section, Geburtshilfe und Frauenheilkunde has a news and views section that also includes discussions, book reviews and professional information. Letters to the editors are welcome. If a letter discusses an article that has been published in our journal, the corresponding author of the article will be informed and invited to comment on the letter. The comment will be published along with the letter.
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