COMPARISON OF OUTCOMES OF INDUCTION OF LABOR FOR MOTHERS AND NEWBORNS IN PREGNANCIES COMPLICATED WITH PRETERM PREMATURE RUPTURE OF MEMBRANES ( PPROM) BETWEEN 34-36 WEEKS

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PARASHI SHAYESTEH; BEDAKHSH MOHAMMAD HOSSEIN; MOHAMMADI MARZIYEH

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Journal: Journal of Medical Council of Iran Year:2017 | Volume:34 | Issue:4 Page(s): 320-330

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Title

COMPARISON OF OUTCOMES OF INDUCTION OF LABOR FOR MOTHERS AND NEWBORNS IN PREGNANCIES COMPLICATED WITH PRETERM PREMATURE RUPTURE OF MEMBRANES ( PPROM) BETWEEN 34-36 WEEKS

Author(s)

PARASHI SHAYESTEH | BEDAKHSH MOHAMMAD HOSSEIN | MOHAMMADI MARZIYEH | Issue Writer Certificate

Keywords

PRE-TERM PRE-MATURE RUPTURE OF MEMBRANES (PPROM)Q2

RUPTURE OF MEMBRANESQ3

INDUCTION OF LABORQ3

MATERNAL AND FETAL COMPLICATIONSQ3

Abstract

Introduction: Despite recent advances in management of pregnancies complicated with PPROM, yet can lead to significant risk for mother and neonate.Unfortunately there is insufficient evidence to guide appropriate management for cases between 34-36 weeks of pregnancy (whether to choose INDUCTION OF LABOR or expectant management).Our objective was to compare maternal and perinatal outcomes between two management schemes for this group of pregnant women.Material and Method: In present study 60 cases of pregnant women, admitted for PPROM and complying with our inclusion and exclusion criteria were randomly allocated in one of the two groups: Expectant management group (control group - group one) or INDUCTION OF LABOR group (intervention group - group two). Labor was induced in women in the second group after admission for 24 hours and receiving corticosteroids. Women in the first group were expectantly managed till 36 weeks of pregnancy and received corticosteroids plus antibiotics for seven days. Labor was induced when they reached 36 weeks or if any sign of clinical chorioamnionitis or any other maternal or fetal indications were observed.Finally, mothers and newborns were followed till 40 days after delivery.Results: There were no statistically significant difference between the two group with regard to maternal age, gravidity, gestational age, birth weight, first minute APGAR score, five minute APGAR score, mode of delivery, RDS, hypoglycaemia, hyper bilirubinemia, clinical chorioamnionitis, puerperal complications.The length of NICU stay was the only outcome with a borderline statistical difference (P value: 0.051).Conclusion: In our study a policy of expectant management of pregnancies complicated by late PPROM in comparison to active management did not impose additional risk to either mother or newborn (fetus) and may be selected to prevent neonatal complications related to preterm birth.

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APA: Copy

PARASHI, SHAYESTEH, BEDAKHSH, MOHAMMAD HOSSEIN, & MOHAMMADI, MARZIYEH. (2017). COMPARISON OF OUTCOMES OF INDUCTION OF LABOR FOR MOTHERS AND NEWBORNS IN PREGNANCIES COMPLICATED WITH PRETERM PREMATURE RUPTURE OF MEMBRANES ( PPROM) BETWEEN 34-36 WEEKS. JOURNAL OF MEDICAL COUNCIL OF I.R.I., 34(4), 320-330. SID. https://sid.ir/paper/41188/en

Vancouver: Copy

PARASHI SHAYESTEH, BEDAKHSH MOHAMMAD HOSSEIN, MOHAMMADI MARZIYEH. COMPARISON OF OUTCOMES OF INDUCTION OF LABOR FOR MOTHERS AND NEWBORNS IN PREGNANCIES COMPLICATED WITH PRETERM PREMATURE RUPTURE OF MEMBRANES ( PPROM) BETWEEN 34-36 WEEKS. JOURNAL OF MEDICAL COUNCIL OF I.R.I.[Internet]. 2017;34(4):320-330. Available from: https://sid.ir/paper/41188/en

IEEE: Copy

SHAYESTEH PARASHI, MOHAMMAD HOSSEIN BEDAKHSH, and MARZIYEH MOHAMMADI, “COMPARISON OF OUTCOMES OF INDUCTION OF LABOR FOR MOTHERS AND NEWBORNS IN PREGNANCIES COMPLICATED WITH PRETERM PREMATURE RUPTURE OF MEMBRANES ( PPROM) BETWEEN 34-36 WEEKS,” JOURNAL OF MEDICAL COUNCIL OF I.R.I., vol. 34, no. 4, pp. 320–330, 2017, [Online]. Available: https://sid.ir/paper/41188/en

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