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Master Thesis

Prise en charge et issues périnatales après une rupture prématurée des membranes à terme : étude de 460 cas en 2014 à la maternité de Port-Royal

Abstract : Objective: The aim of this study is to evaluate the practices in a premature rupture of membranes at term (PROM) and to analyze the maternal and neonatal outcomes according to expectant management. Materials and methods: We realized a retrospective study, unicentric, in the maternity of Port-Royal during the year 2014. We determined three groups according to the time of expectation after the PROM: 12-24 hours (group 1), 24-48 hours (group 2) and 48-72 hours (group 3). The input labor mode and the maternal and neonatal outcome were studied in these 3 groups. Results: In our study, the input labor mode is mostly spontaneous in the group 1 and 2, most of the patients start labor between 12 and 24 hours after rupture. Furthermore, 25% of the patients go into in a spontaneous labor after an expectant management of 48 hours. We don’t find a significant difference regarding the caesarian section rate according to the expectant management. The induction of labor seems to be the risk factor for caesarian (26% versus 7% for the spontaneous labor). We didn’t find any difference regarding the occurrence of maternal or neonatal infection regardless of the expectant management and the input labor mode. Conclusion: In the case of a PROM at term and in the absence of additional infectious criteria, an expectant management seems to be beneficial, even after 48 hours.
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https://dumas.ccsd.cnrs.fr/dumas-01402165
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  • HAL Id : dumas-01402165, version 1

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Alexandra Hatiez. Prise en charge et issues périnatales après une rupture prématurée des membranes à terme : étude de 460 cas en 2014 à la maternité de Port-Royal . Gynécologie et obstétrique. 2016. ⟨dumas-01402165⟩

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