The Relation between Duration of Ruptured Membranes and Perinatal Outcome in Patients with Midtrimester Prelabor Rupture of Membranes

Augustinus Van Teeffelen; Jantien Van Der Heijden; David Van Der Ham; Jelle M. Schaaf; Sander Van Kuijk; Anita C.J. Ravelli; Eva Pajkrt; Christine Willekes; Jan Nijhuis; Ben Willem M. Mol

doi:10.1055/s-0035-1548539

The Relation between Duration of Ruptured Membranes and Perinatal Outcome in Patients with Midtrimester Prelabor Rupture of Membranes

Augustinus Van Teeffelen^*, Jantien Van Der Heijden, David Van Der Ham, Jelle M. Schaaf, Sander Van Kuijk, Anita C.J. Ravelli, Eva Pajkrt, Christine Willekes, Jan Nijhuis, Ben Willem M. Mol

^*Corresponding author for this work

Applied Health Sciences

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Abstract

Objective The aim of the study was to assess the impact of gestational age (GA) at rupture and latency on perinatal outcome after midtrimester prelabor rupture of membranes (PROM). Study Design We obtained data on singleton pregnancies from 22 weeks onwards from the Dutch Perinatal Registry from 1999 to 2007, congenital abnormalities were excluded. In women with PROM before 26 weeks, we studied the impact of GA at rupture and latency on perinatal mortality and morbidity. Results A total of 1,233 pregnancies were included. Higher GA at delivery appeared to increase the probability of survival without morbidity, GA at PROM did not. In pregnancies of minimum 22 weeks GA, there appeared to be no clear relationship between earlier GA at PROM and adverse outcome. Conclusion Longer latency and early GA at PROM seem to have limited impact in patients delivering after 22 weeks.

Original language	English
Pages (from-to)	1112-1118
Number of pages	7
Journal	American journal of perinatology
Volume	32
Issue number	12
DOIs	https://doi.org/10.1055/s-0035-1548539
Publication status	Published - 13 May 2015

Keywords

latency
midtrimester
perinatal outcome
preterm prelabor rupture of membranes

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Van Teeffelen, A., Van Der Heijden, J., Van Der Ham, D., Schaaf, J. M., Van Kuijk, S., Ravelli, A. C. J., Pajkrt, E., Willekes, C., Nijhuis, J., & Mol, B. W. M. (2015). The Relation between Duration of Ruptured Membranes and Perinatal Outcome in Patients with Midtrimester Prelabor Rupture of Membranes. American journal of perinatology, 32(12), 1112-1118. https://doi.org/10.1055/s-0035-1548539

Van Teeffelen, A, Van Der Heijden, J, Van Der Ham, D, Schaaf, JM, Van Kuijk, S, Ravelli, ACJ, Pajkrt, E, Willekes, C, Nijhuis, J & Mol, BWM 2015, 'The Relation between Duration of Ruptured Membranes and Perinatal Outcome in Patients with Midtrimester Prelabor Rupture of Membranes', American journal of perinatology, vol. 32, no. 12, pp. 1112-1118. https://doi.org/10.1055/s-0035-1548539

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title = "The Relation between Duration of Ruptured Membranes and Perinatal Outcome in Patients with Midtrimester Prelabor Rupture of Membranes",

abstract = "Objective The aim of the study was to assess the impact of gestational age (GA) at rupture and latency on perinatal outcome after midtrimester prelabor rupture of membranes (PROM). Study Design We obtained data on singleton pregnancies from 22 weeks onwards from the Dutch Perinatal Registry from 1999 to 2007, congenital abnormalities were excluded. In women with PROM before 26 weeks, we studied the impact of GA at rupture and latency on perinatal mortality and morbidity. Results A total of 1,233 pregnancies were included. Higher GA at delivery appeared to increase the probability of survival without morbidity, GA at PROM did not. In pregnancies of minimum 22 weeks GA, there appeared to be no clear relationship between earlier GA at PROM and adverse outcome. Conclusion Longer latency and early GA at PROM seem to have limited impact in patients delivering after 22 weeks.",

keywords = "latency, midtrimester, perinatal outcome, preterm prelabor rupture of membranes",

author = "{Van Teeffelen}, Augustinus and {Van Der Heijden}, Jantien and {Van Der Ham}, David and Schaaf, {Jelle M.} and {Van Kuijk}, Sander and Ravelli, {Anita C.J.} and Eva Pajkrt and Christine Willekes and Jan Nijhuis and Mol, {Ben Willem M.}",

year = "2015",

month = may,

day = "13",

doi = "10.1055/s-0035-1548539",

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journal = "American journal of perinatology",

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AU - Van Teeffelen, Augustinus

AU - Van Der Heijden, Jantien

AU - Van Der Ham, David

AU - Schaaf, Jelle M.

AU - Van Kuijk, Sander

AU - Ravelli, Anita C.J.

AU - Pajkrt, Eva

AU - Willekes, Christine

AU - Nijhuis, Jan

AU - Mol, Ben Willem M.

PY - 2015/5/13

Y1 - 2015/5/13

N2 - Objective The aim of the study was to assess the impact of gestational age (GA) at rupture and latency on perinatal outcome after midtrimester prelabor rupture of membranes (PROM). Study Design We obtained data on singleton pregnancies from 22 weeks onwards from the Dutch Perinatal Registry from 1999 to 2007, congenital abnormalities were excluded. In women with PROM before 26 weeks, we studied the impact of GA at rupture and latency on perinatal mortality and morbidity. Results A total of 1,233 pregnancies were included. Higher GA at delivery appeared to increase the probability of survival without morbidity, GA at PROM did not. In pregnancies of minimum 22 weeks GA, there appeared to be no clear relationship between earlier GA at PROM and adverse outcome. Conclusion Longer latency and early GA at PROM seem to have limited impact in patients delivering after 22 weeks.

AB - Objective The aim of the study was to assess the impact of gestational age (GA) at rupture and latency on perinatal outcome after midtrimester prelabor rupture of membranes (PROM). Study Design We obtained data on singleton pregnancies from 22 weeks onwards from the Dutch Perinatal Registry from 1999 to 2007, congenital abnormalities were excluded. In women with PROM before 26 weeks, we studied the impact of GA at rupture and latency on perinatal mortality and morbidity. Results A total of 1,233 pregnancies were included. Higher GA at delivery appeared to increase the probability of survival without morbidity, GA at PROM did not. In pregnancies of minimum 22 weeks GA, there appeared to be no clear relationship between earlier GA at PROM and adverse outcome. Conclusion Longer latency and early GA at PROM seem to have limited impact in patients delivering after 22 weeks.

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KW - midtrimester

KW - perinatal outcome

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The Relation between Duration of Ruptured Membranes and Perinatal Outcome in Patients with Midtrimester Prelabor Rupture of Membranes

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