Skip to Main content Skip to Navigation
Master Thesis

Prise en charge expectative des ruptures prématurées des membranes avant terme et complications majeures : une étude de cohorte rétrospective

Abstract : Objectives: describe maternal outcomes, identify risk factors of major complications following PPROM and assess whether these complications are predictable . Study design: Inclusion criteria was a delivery in our maternity related to a rupture of membranes prior to 36 weeks’ gestation. Information about maternal characteristics, obstetrical issues, maternal and neonatal outcomes were collected from the medical records. Results: 230 patients were included. 79 patients (34,3%) had at least one major complication. The complication rate in early PPROM before 28 weeks’ gestation was 55% and 26,6% in late PPROM at 28 weeks’ gestation or later. Women with PPROM before 28 weeks’ gestation had an increased risk of major complications (Adjusted hazard ratio 0,06, 95% confidence interval (0,12-0,73)). The complication rates were highest during the first three days after PPROM. Conclusion: large pragmatic controlled trials are required to evaluate whether home care is a superior alternative to hospital care for women with PPROM who did not deliver within the first few days. The important proportion of women who delivered in the first few days after PPROM make their realization complicated.
Document type :
Master Thesis
Complete list of metadatas

Cited literature [44 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-01623933
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Wednesday, October 25, 2017 - 6:45:35 PM
Last modification on : Saturday, October 28, 2017 - 1:14:16 AM
Long-term archiving on: : Friday, January 26, 2018 - 3:41:14 PM

File

Med_spe_2017_Soudan.pdf
Files produced by the author(s)

Identifiers

  • HAL Id : dumas-01623933, version 1

Collections

Citation

Marie-Charlotte Soudan. Prise en charge expectative des ruptures prématurées des membranes avant terme et complications majeures : une étude de cohorte rétrospective. Médecine humaine et pathologie. 2017. ⟨dumas-01623933⟩

Share

Metrics

Record views

280

Files downloads

311