Outcomes in cephalic vs noncephalic presentation in the setting of preterm premature rupture of membranes Journal Article

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Authors: Goodman, J. R.; Lambert, A. E.; Peck, J. D.; Sutton, K. M.; Deschamps, D. R.
Article Title: Outcomes in cephalic vs noncephalic presentation in the setting of preterm premature rupture of membranes
Abstract: OBJECTIVE: This study was conducted to determine whether fetal position at the time of preterm premature rupture of membranes (PPROM) diagnosis affects outcomes. STUDY DESIGN: A retrospective study was designed to assess differences in outcomes between cephalic and noncephalic presentation at PPROM diagnosis between 24 and 34 weeks' gestation. RESULTS: Five hundred sixty-six cases of PPROM were identified; 108 cases (19.1%) were noncephalic at time of PPROM diagnosis. The 2 groups were similar with regard to demographics. Although membrane rupture and delivery occurred earlier in the noncephalic group, there was no difference in latency between groups (cephalic group, 6.22 days vs noncephalic group, 7.85 days; P = .07). Noncephalic pregnancies were substantially more likely to be complicated by oligohydramnios, abruption, intrauterine fetal death, and infectious morbidity. CONCLUSION: Noncephalic presentation at the time of diagnosis of PPROM independently and significantly increases the risk of maternal complications in such affected pregnancies.
Journal Title: American Journal of Obstetrics and Gynecology
Volume: 208
Issue: 3
ISSN: 1097-6868; 0002-9378
Publisher: Unknown  
Journal Place: United States
Date Published: 2013
Start Page: 231.e1
End Page: 231.e8
Language: eng
DOI/URL:

10.1016/j.ajog.2012.12.012

10.1016/j.ajog.2012.12.012
Notes: CI: Copyright (c) 2013; JID: 0370476; 2012/08/31 [received]; 2012/11/19 [revised]; 2012/12/04 [accepted]; 2012/12/07 [aheadofprint]; ppublish
LUC Authors
  1. Jean Ricci Goodman
    11 Goodman
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