AI Article Synopsis
- The study aimed to assess pregnancy outcomes related to preterm premature rupture of membranes (PPROM) at different gestational ages.
- After analyzing data from over 99,000 cases, it found that early PPROM (18-23 weeks) had a higher risk of miscarriage/stillbirth and complications like oligohydramnios and intrauterine infections, compared to late PPROM (24-36 weeks).
- Ultimately, the research highlights significant differences in outcomes between early and late PPROM, contributing valuable information to understanding pregnancy complications.
Article Abstract
Aim: To evaluate the pregnancy outcomes of preterm premature rupture of membranes (preterm PROM; PPROM) by gestational age.
Methods: This cohort study analyzed data from the Japan Environment and Children's Study. Pregnancy outcomes were documented using descriptive statistics. Logistic regression was used to estimate the odds ratios (ORs) and 95% confidence intervals (CIs) of complications.
Results: Data were collected for 104 062 fetuses, and 99 776 were eligible for inclusion. The incidences of early (18-23 weeks) and late (24-36 weeks) PPROM were 0.1% (n = 102) and 1.2% (n = 1205), respectively. Of the 1307 cases, 66 (5.0%) resulted in miscarriage or stillbirth. Overall, 85.6% (1119/1307) resulted in preterm births, and 9.3% (122/1307) in term births. There was a higher incidence of oligohydramnios (OR 6.82, 95% CI 4.07, 11.4; OR 2.42, 95% CI 1.72, 3.40), intrauterine infection (OR 11.9, 95% CI 7.06, 19.9; OR 4.39, 95% CI 3.01, 6.41), cesarean delivery (OR 3.31, 95% CI 2.32, 4.71; OR 1.34, 95% CI 0.97, 1.85), placental abruption (OR 5.57, 95% CI 2.30, 13.5; OR 5.40, 95% CI 3.58, 8.14), and 5-min Apgar score <7 (OR 35.3, 95% CI 21.5, 57.9; OR 2.66, 95% CI 1.75, 4.05) for early and late, compared to no, PPROM, respectively. Miscarriage or stillbirth was higher in early (OR 5.84, 95% CI 3.72, 9.15) and lower in late (OR 0.21, 95% CI 0.06, 0.68) compared to those without PPROM.
Conclusions: This study described the epidemiology of pregnancy outcomes of early (occurring at the limit of viability) and late PPROM.
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| http://dx.doi.org/10.1111/jog.15388 | DOI Listing |
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