Abstract
A conservative approach to non-delivery of women with prolonged premature rupture of membranes (PPROM) before 36 wks. was associated with congenital postural deformities and hypoplastic lungs but not with neonatal asphyxia or sepsis. PPROM> 24 hrs. occurred in 89 infants (15.8/1000 deliveries 1975-1977). Positional foot deformity (PFD), congenital dislocation of hips (CDH) and hypoplastic lungs (HL) were present only with PPROM at 28 wks. gestation or less.
The incidence of PFD and CDH in this group was significantly higher than in all newborns (5.5% and 1.1% vs. 0.4% and 0.5% respectively). 3/89(3.3%) of the infants were stillborn; 8/89 (9.0%) died; 8/11 perinatal deaths were <1000 gm. There was no difference in the incidence of neonatal asphyxia in PPROM infants matched for gestational age and birth weights with non-PPROM controls. The one PPROM infant with infection survived Group B streptococcal septicemia.
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Kanjanapone, V., Kappy, K., Harschel, M. et al. 984 THE INFLUENCE OF PROLONGED PREMATURE RUPTURE OF MEMBRANES (PPROM) ON THE FETUS. Pediatr Res 12 (Suppl 4), 528 (1978). https://doi.org/10.1203/00006450-197804001-00990
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DOI: https://doi.org/10.1203/00006450-197804001-00990
