Labor induction in the patient with preterm premature rupture of membranes

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• 作者：Roger Everett Packard ; DO ; FACOOG ; Awathif Dhanya Mackeen ; MD ; MPH ; FACOG ; ^{admackeen@geisinger.edu" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Induction of labor ; Preterm premature rupture of membranes ; Preterm delivery ; Early PPROM ; late PPROM ; Management around periviability
• 刊名：Seminars in Perinatology
• 出版年：2015
• 出版时间：October 2015
• 年：2015
• 卷：39
• 期：6
• 页码：495-500
• 全文大小：750 K

文摘

Preterm premature rupture of membranes (PPROM) affects up to one-third of all preterm births and confers serious maternal risks, including intra-amniotic infection, and an increased risk of neonatal complications, including respiratory distress and intraventricular hemorrhage. Management of PPROM is a highly individualized process that requires an accurate determination of gestational age and causal factors, as well as the balancing of maternal and fetal risks. In this review of the existing literature on induction of labor in PPROM, we examine the differences in appropriate management of patients with early (32 weeks 0 days to 33 weeks 6 days) and near term (34 weeks 0 days to 36 weeks 6 days) PPROM, and compare the safety and efficacy of available treatment options. This review of previous research findings provides general guidelines for clinical decision making and highlights the need for future research on management of PPROM.