‘Preterm premature rupture of membranes in the late preterm period: an argument against expectant management’ American Journal of Obstetrics & Gynecology MFM/ Volume 7, Issue 1 (2025) 101562

IF 3.1 2区 医学 Q1 OBSTETRICS & GYNECOLOGY American Journal of Obstetrics & Gynecology Mfm Pub Date : 2025-01-01 DOI:10.1016/j.ajogmf.2024.101562
Ghamar Bitar MD, Baha M. Sibai MD
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早产儿晚期PPROM:反对准产管理的观点。
早产胎膜早破(PPROM),定义为羊水在37周前和分娩开始前通过子宫颈口漏出,导致近3%的分娩和30%的晚期早产并发症。由于一项大型试验评估了这些管理策略,目前对发生在妊娠34至36周之间的PPROM的管理已经从建议分娩转向建议分娩或待产管理。准产管理的潜在新生儿益处,减少早产并发症,必须与密切监测下延长妊娠的产妇风险(因此附带的新生儿风险)进行权衡。我们建议在妊娠34周或更晚发生PPROM的患者立即分娩,因为孕妇并发症(特别是出血和感染)的风险较高,与妊娠管理相关。此外,有限的证据表明,与准产相比,立即分娩会增加新生儿不良结局的风险,包括败血症或新生儿复合发病率。
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
CiteScore
7.40
自引率
3.20%
发文量
254
审稿时长
40 days
期刊介绍: The American Journal of Obstetrics and Gynecology (AJOG) is a highly esteemed publication with two companion titles. One of these is the American Journal of Obstetrics and Gynecology Maternal-Fetal Medicine (AJOG MFM), which is dedicated to the latest research in the field of maternal-fetal medicine, specifically concerning high-risk pregnancies. The journal encompasses a wide range of topics, including: Maternal Complications: It addresses significant studies that have the potential to change clinical practice regarding complications faced by pregnant women. Fetal Complications: The journal covers prenatal diagnosis, ultrasound, and genetic issues related to the fetus, providing insights into the management and care of fetal health. Prenatal Care: It discusses the best practices in prenatal care to ensure the health and well-being of both the mother and the unborn child. Intrapartum Care: It provides guidance on the care provided during the childbirth process, which is critical for the safety of both mother and baby. Postpartum Issues: The journal also tackles issues that arise after childbirth, focusing on the postpartum period and its implications for maternal health. AJOG MFM serves as a reliable forum for peer-reviewed research, with a preference for randomized trials and meta-analyses. The goal is to equip researchers and clinicians with the most current information and evidence-based strategies to effectively manage high-risk pregnancies and to provide the best possible care for mothers and their unborn children.
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