Management and outcome of preterm prelabor rupture of membrane (PPROM).

The management of prelabor rupture of membrane (PPROM) is one of the most discussed issues in perinatal medicine. The guidelines recommend to manage the pregnancy expectantly whenever this is possible, taking into account certain factors, such as gestational age, presence or absence of maternal/fetal infection, presence or absence of labor, fetal presentation, fetal well-being, and cervical status. Our objective is to demonstrate the benefits of expectantly management. We undertook a retrospective observational analytical study in which we included PPROM pregnancy between 2015 and 2020. We followed the evolution of premature newborn using several parameters (neonatal death, respiratory distress syndrome, hypoxia, intraventricular hemorrhage, hypoglycemia, necrotizing enterocolitis, neonatal sepsis), originated from both PPROM pregnancies that were managed expectantly and PPROM that were delivered short time after admission. In PPROM pregnancies managed expectantly we included the patients to whom there had been administrated tocolysis, corticosteroids and antibiotics, so the delivery was postponed. We observed a significant decrease in neonatal complication in pregnancies that were prolonged. We concluded that the expectantly management of pregnancies with preterm prelabor rupture of membrane leads to a statistical benefit, decreasing the incidence of fetal and maternal complications. [ABSTRACT FROM AUTHOR]