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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 286 - 292 (7page)
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초록· 키워드
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ObjectiveThe aim of this survey was to study the status of the actual practice in the management of preterm premature ruptureof membranes (PPROM) between 34.0 and 36.6 weeks of gestation. MethodsThis survey was designed for obstetricians who work in secondary or tertiary medical institutions and attended theKorean Society of Maternal Fetal Medicine conference held on July 1, 2017, in Korea, using a structured questionnaireconsisting of 5 questions. ResultsThe most commonly used antibiotic was cephalosporin monotherapy (34.5%). Antenatal corticosteroids were appliedup to 34.0 weeks of gestation in half of the respondents. The frequency of expectant management was higher thanthat of immediate delivery in women with PPROM between 34.0 and 36.6 weeks of gestation (57.4%). The mostimportant factor in determining immediate delivery was the symptoms of chorioamnionitis. ConclusionThe present survey showed a considerable variation in the actual management of PPROM in women, especiallythe optimal timing of delivery. More evidenced-based studies with statistical power are required to decrease theheterogeneity of clinical practice.
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참고문헌 (15)
참고문헌 신청
Committee on Practice Bulletins-Obstetrics / 2018 / ACOG practice bulletin No. 188 : prelabor rupture of membranes / Obstet Gynecol 131:e1~14
Bond DM / 2017 / Planned early birth versus expectant management for women with preterm prelabour rupture of membranes prior to 37 weeks’gestation for improving pregnancy outcome / Cochrane Database Syst Rev 3:CD004735
Chandra I / 2017 / Third trimester preterm and term premature rupture of membranes : is there any difference in maternal characteristics and pregnancy outcomes? / J Chin Med Assoc 80:657~661
Morris JM / 2016 / Immediate delivery compared with expectant management after preterm pre-labour rupture of the membranes close to term(PPROMT trial) : a randomised controlled trial / Lancet 387:444~452
Ramsey PS / 2004 / Contemporary management of preterm premature rupture of membranes(PPROM) : a survey of maternal-fetal medicine providers / Am J Obstet Gynecol 191:1497~1502
Bond DM / 2017 / Planned early birth versus expectant management for women with preterm prelabour rupture of membranes prior to 37 weeks’gestation for improving pregnancy outcome / Cochrane Database Syst Rev 3:CD004735
Chandra I / 2017 / Third trimester preterm and term premature rupture of membranes : is there any difference in maternal characteristics and pregnancy outcomes? / J Chin Med Assoc 80:657~661
Morris JM / 2016 / Immediate delivery compared with expectant management after preterm pre-labour rupture of the membranes close to term(PPROMT trial) : a randomised controlled trial / Lancet 387:444~452
Ramsey PS / 2004 / Contemporary management of preterm premature rupture of membranes(PPROM) : a survey of maternal-fetal medicine providers / Am J Obstet Gynecol 191:1497~1502
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