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Master Thesis

Rupture prématurée des membranes entre 24 et 34 SA : HAD versus hospitalisation traditionnelle

Abstract : Premature rupture of membranes (PROM) muddles from 1 to 3% of the pregnancies and generate a rise of morbidity and maternal-fetal mortality. Most of the obstetrical teams supervise these women at the hospital until the childbirth although their stay can be very long. Objective: Analyse the maternal, obstetrical and neonatal outcomes of pregnancies complicated by PROM between 24 and 34 weeks in terms of their follow-up place: home versus hospital management. Method: Using a retrospective and multicentric study, we compared two groups of stable patients that had a PROM between 24 and 34 weeks: one of the groups was followed-up at home (n=14) while the other group was followed-up at the hospital (n=23). Results: The women belonging to the hospital group deliver prematurely besides the fact that the PROM term is the same for the two groups (approximately 27 weeks). What's more they have more chorioamnionitis. Finally, the neonatal outcomes are equivalent in the two groups. Conclusion: Home management seems to be possible for the patients having a PROM lower than 34 weeks without deterioring maternal-fetal morbidity but these results are to be distantly taken considering the low number of patients that participated to the study.
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Submitted on : Tuesday, October 15, 2013 - 1:10:21 PM
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  • HAL Id : dumas-00873236, version 1


Marion Lucet. Rupture prématurée des membranes entre 24 et 34 SA : HAD versus hospitalisation traditionnelle. Gynécologie et obstétrique. 2013. ⟨dumas-00873236⟩



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