Assessment of risk factors for survival of neonates born after second-trimester PPROM

被引:11
作者
Pristauz, Gunda [1 ]
Bader, Arnim A. [1 ]
Schwantzer, Gerold [2 ]
Kutschera, Joerg [3 ]
Lang, Uwe [1 ]
机构
[1] Med Univ Graz, Dept Obstet & Gynecol, A-8036 Graz, Austria
[2] Med Univ Graz, Inst Med Informat Stat & Documentat, A-8036 Graz, Austria
[3] Med Univ Graz, Dept Pediat, A-8036 Graz, Austria
关键词
Preterm delivered; PPROM; Risk factors; Neonatal survival; PRETERM PREMATURE RUPTURE; CEREBRAL-PALSY; BRONCHOPULMONARY DYSPLASIA; EXPECTANT MANAGEMENT; BIRTH-WEIGHT; MEMBRANES; INFANTS; INFECTION; OUTCOMES; MECHANISMS;
D O I
10.1016/j.earlhumdev.2008.09.012
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: Assess fetal risk factors which impact survival of infants delivered after second-trimester PPROM. Study design: Clinical records of 87 patients, who all had second-trimester rupture of membranes between 14 + 0 and 24 + 6 weeks of gestation treated January 1998 to July 2005 were reviewed regarding perinatal outcome. This study is based on 25 surviving infants. Results: 13 of these 25 infants died in the hospital. Survivors had a higher birth weight (p=0.008) and higher Apgar scores after 5 min (p=0.005) than those infants dying. No differences in UA pH, the need of catecholamines and no association between histological verified chorioamnionitis and early onset sepsis were seen between survivors and nonsurvivors. Conclusion: Higher gestational age at birth, higher birth weight, the absence of histologically verified chorioamnionitis and 5 min Apgar scores of >= than 6 have positive prognostic value for survival of neonates delivered preterm after second-trimester PPROM. (c) 2008 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:177 / 180
页数:4
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