Author/Editor     Pajntar, M; Verdenik, I
Title     Maternal and neonatal outcome related to delivery time following premature rupture of membranes
Type     članek
Source     Int J Gynaecol Obstet
Vol. and No.     Letnik 58
Publication year     1997
Volume     str. 281-6
Language     eng
Abstract     Objective: To evaluate neonatal and maternal outcomes of PROM deliveries with regard to the time elapsed since preterm rupture of membranes (PROM) to delivery. Method: According to time elapsed since PROM to delivery we divided all singleton deliveries with PROM after the completed 34th week of gestation (N = 35419), which occured in Slovenia between 1988 and 1994, into four groups: within 12 h, within 13-24 h, within 25-48 h, and over 48 h after PROM. The analysis was focused on the management of labor, neonatal and maternal infections and perinatal hypoxia with regard to the elapsed time. The Kruskal-Wallis analysis of variance, the Pearson chi-square test, Spearman rank correlation test, and the logistic regression test were used. Results: With increasing time elapsed since PROM to delivery we found significantly incidences of induced labor, operative delivery, fetal distress, poorer fetal condition at birth, neonatal infections, and minor maternal infections. Conclusion: We may conclude that the best neonatal and maternal outcomes are obtained if delivery occurs within 12 h fter PROM.
Descriptors     ANOXIA
DELIVERY
FETAL MEMBRANES, PREMATURE RUPTURE
PREGNANCY OUTCOME
PREGNANCY
INFANT, NEWBORN
GESTATIONAL AGE
INFECTION
LOGISTIC MODELS
TIME FACTORS