Previable and periviable preterm prelabor rupture of membranes are challenging obstetrical complica-tions to manage given the substantial risk of maternal morbidity and mortality, with no guarantee of fetal benefit.

2024年11月5日 · PPROM is defined as rupture of membranes without labor prior to 37 weeks gestation. In those that undergo PPROM in the periviable period (20w0d to 25w6d), only 15% of individuals have neonatal survival at discharge in the absence of maternal complications.

Prelabor rupture of membranes (PROM) that occurs preterm complicates approximately 2–3% of all pregnancies in the United States, representing a significant proportion of preterm births, whereas term PROM occurs in approximately 8% of pregnancies 4 5 6.

2024年10月31日 · PPROM is a complicated condition where clinicians must balance the risks of prolonging pregnancy with fetal risks of prematurity. Management of PPROM in the previable and periviable periods can be especially complicated, depending on gestational age, with immediate delivery often recommended after 37 weeks.

Preterm PROM (PPROM) refers to PROM before 37+0 weeks of gestation. It is responsible for, or associated with, approximately one-third of preterm births and is the single most common identifiable factor associated with preterm delivery.

Premature rupture of membranes (PROM) occurs when there is a rupture in the sac that contains the fetus and the amniotic fluid, prior to the onset of labor. This event is commonly referred to as “the waters breaking.” “Viable” refers to the age at which it is possible for the baby to survive outside the mother’s body.

2024年7月15日 · Previable and periviable preterm prelabor rupture of membranes are challenging obstetrical complications to manage given the substantial risk of maternal morbidity and mortality, with no guarantee of fetal benefit.

Previable and periviable preterm prelabor rupture of membranes are challenging obstetrical complications to manage given the substantial risk of maternal morbidity and mortality, with no guarantee of fetal benefit.

2022年10月2日 · All patients with PPROM <37 weeks gestation. This guideline aims to provide the first Canadian general guideline on the management of preterm membrane rupture. It includes a comprehensive and up-to-date review of the evidence on the diagnosis, management, timing and method of delivery.

Preterm premature rupture of the membranes (PPROM) at the limit of viability is associated with low neonatal survival rates and a high rate of neonatal complications in survivors. It carries a major risk of maternal morbidity and mortality.