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Preterm premature rupture of membrane management--inpatient versus outpatient: a retrospective review.

Publication ,  Journal Article
Ellestad, SC; Swamy, GK; Sinclair, T; James, AH; Heine, RP; Murtha, AP
Published in: Am J Perinatol
January 2008

The purpose of this study was to evaluate the outcome of patients with preterm premature rupture of membranes (PPROM) managed as inpatients who would have been candidates for outpatient management by prior published criteria. A retrospective review of medical records of PPROM subjects enrolled in a prospective cohort study was performed. Similar criteria to those established in a randomized trial for home management of PPROM by Carlan et al were applied. Assuming local residence, 65 subjects met the criteria for outpatient management. Demographic and delivery information were collected. Of the 65 subjects, 12 (18%) delivered <2 hours from the sentinel event. Adverse outcomes in these 12 subjects could have been devastating had they been managed as outpatients. Given the susceptibility of these subjects to obstetric emergencies, patients with PPROM at a viable gestational age should be considered for management as inpatients in a tertiary-care facility.

Duke Scholars

Published In

Am J Perinatol

DOI

ISSN

0735-1631

Publication Date

January 2008

Volume

25

Issue

1

Start / End Page

69 / 73

Location

United States

Related Subject Headings

  • Umbilical Cord
  • Time Factors
  • Retrospective Studies
  • Prospective Studies
  • Prolapse
  • Pregnancy
  • Obstetrics & Reproductive Medicine
  • North Carolina
  • Infant, Premature
  • Infant, Newborn
 

Citation

APA
Chicago
ICMJE
MLA
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Ellestad, S. C., Swamy, G. K., Sinclair, T., James, A. H., Heine, R. P., & Murtha, A. P. (2008). Preterm premature rupture of membrane management--inpatient versus outpatient: a retrospective review. Am J Perinatol, 25(1), 69–73. https://doi.org/10.1055/s-2007-1004830
Ellestad, Sarah C., Geeta K. Swamy, Tammy Sinclair, Andra H. James, R Phillips Heine, and Amy P. Murtha. “Preterm premature rupture of membrane management--inpatient versus outpatient: a retrospective review.Am J Perinatol 25, no. 1 (January 2008): 69–73. https://doi.org/10.1055/s-2007-1004830.
Ellestad SC, Swamy GK, Sinclair T, James AH, Heine RP, Murtha AP. Preterm premature rupture of membrane management--inpatient versus outpatient: a retrospective review. Am J Perinatol. 2008 Jan;25(1):69–73.
Ellestad, Sarah C., et al. “Preterm premature rupture of membrane management--inpatient versus outpatient: a retrospective review.Am J Perinatol, vol. 25, no. 1, Jan. 2008, pp. 69–73. Pubmed, doi:10.1055/s-2007-1004830.
Ellestad SC, Swamy GK, Sinclair T, James AH, Heine RP, Murtha AP. Preterm premature rupture of membrane management--inpatient versus outpatient: a retrospective review. Am J Perinatol. 2008 Jan;25(1):69–73.
Journal cover image

Published In

Am J Perinatol

DOI

ISSN

0735-1631

Publication Date

January 2008

Volume

25

Issue

1

Start / End Page

69 / 73

Location

United States

Related Subject Headings

  • Umbilical Cord
  • Time Factors
  • Retrospective Studies
  • Prospective Studies
  • Prolapse
  • Pregnancy
  • Obstetrics & Reproductive Medicine
  • North Carolina
  • Infant, Premature
  • Infant, Newborn