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Master Thesis

La rupture prématuré des membranes entre 22 et 35 semaines d’amenorrhee : la prise en charge a domicile est-elle possible ?

Abstract : Preterm prelabour rupture of membranes is a frequent obstetrical condition and may cause severe complications for the mother and for the new-born. Conventional management is in hospital, but outpatient management may be possible in selected cases. The objective of our study is to compare obstetrical and neonatal outcomes of women with preterm prelabour rupture of membranes between 22 and 35 weeks who were managed as outpatient(Outpatient caregroup), compared with those managed in hospital (Hospital caregroup). We realised a retrospective cohort study between the 1st September 2013 and the 1st September 2017 in the care center of Fort de France, in Martinique. 40 women were included in the Outpatient care group and 43 in the Hospital care group. At the end of the analysis, there were no significant differences in the maternal composite outcome(favorable issues : 35 vs 34, p=0,305), and the neonatal composite outcome(favorable issues 35 vs 36, p=0,525). No delivery occurred at home. In conclusion, no severe complication occurred in the outpatient group. It seems that home care is possible subject to selection and initial hospital surveillance of patients.
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https://dumas.ccsd.cnrs.fr/dumas-03245032
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Submitted on : Tuesday, June 1, 2021 - 3:22:37 PM
Last modification on : Sunday, January 9, 2022 - 3:29:27 AM

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  • HAL Id : dumas-03245032, version 1

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Oualid Flici. La rupture prématuré des membranes entre 22 et 35 semaines d’amenorrhee : la prise en charge a domicile est-elle possible ?. Gynécologie et obstétrique. 2019. ⟨dumas-03245032⟩

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