A retrospective cohort study of fetal assessment following preterm premature rupture of membranes
Rattachement africain : us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVE: To evaluate maternal and neonatal outcomes following management of preterm premature rupture of membranes (PPROM) by two fetal assessment strategies. METHODS: weeks of gestation that underwent expectant management. Outcomes were compared between continuous electronic fetal heart monitoring (EFM) with daily biophysical profile (BPP) ("continuous monitoring") and non-stress test (NST) three times per day ("periodic monitoring") using Mann-Whitney U and Fisher exact tests. RESULTS: Overall, 119 (66.1%) pregnancies were assessed by continuous monitoring and 61 (33.9%) by periodic monitoring. There was no difference in frequency of intrauterine death between the continuous monitoring (1, 0.8%) and periodic monitoring (3, 4.9%) groups (OR, 0.16; 95% CI, 0.02-1.61). The continuous monitoring group was more likely to have an interventional (OR, 2.17; 95% CI, 1.06-4.44) or cesarean (OR 3.30, 95% CI 1.70-6.38) delivery. CONCLUSION: Continuous EFM with daily BPP was associated with higher rates of intervention and cesarean delivery compared with periodic NST, but there was no difference in intrauterine or perinatal mortality.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- A retrospective cohort study of fetal assessment following preterm premature rupture of membranes
- Date Crossref
- 19/02/2019
- Éditeur
- Wiley
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Pennsylvania Hospital Department of Obstetrics and Gynecology pays non établi dans la noticeÉtablissement de santé
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Massachusetts General Hospital Department of Medicine pays non établi dans la noticeÉtablissement de santé
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Thomas Jefferson University Hospital Department of Obstetrics and Gynecology pays non établi dans la noticeÉtablissement de santé
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Abington Memorial Hospital Department of Obstetrics and Gynecology pays non établi dans la noticeÉtablissement de santé
Department of Obstetrics and Gynecology — Pennsylvania Hospital, Department of Medicine — Massachusetts General Hospital et Department of Obstetrics and Gynecology — Thomas Jefferson University Hospital, avec 1 autre affiliation.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.