ABC of labour care: Preterm labour and premature rupture of membranes

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ABC of labour care: physiology and management of normal labour.

Labour is more difficult in humans than in most other mammals. Our ancestors, the Australopithecines, adopted the upright posture about five million years ago. Natural selection produced a smaller pelvis, which more efficiently transmits forces from the hind legs to the spine. About 1.5 million years ago brain size began to increase (probably associated with improved social integration and late...

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Hospital versus outpatient care for preterm pre-labour rupture of membranes.

BACKGROUND To report the outcomes of women admitted following preterm pre-labour rupture of membranes (pPROM) and to determine whether the location of care (hospital vs outpatient) influences maternal and perinatal outcomes. METHODS A retrospective cohort study was performed using routinely collected de-identified data of 144 women (between June 2007 and June 2011) who presented to the Mater ...

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Outcome of preterm premature rupture of membranes.

OBJECTIVE To study the incidence and outcome of preterm premature rupture of membranes (PPROM). DESIGN Cross-sectional study. SETTING Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University. SUBJECTS Ninety five PPROM women who were expectant management and delivered between January 1, 1997 and December 31, 1997. RESULTS The incidence of PPROM was 7.2 per ...

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Antibiotics for preterm premature rupture of membranes.

OBJECTIVES The aim of the review was to evaluate the effectiveness and the immediate and long-term safety of the effects of administering antibiotics to women with preterm prelabour rupture of membranes on maternal infectious morbidity, fetal and neonatal morbidity and mortality, and longer term childhood development. SEARCH STRATEGY All randomized trials identified using the search strategy ...

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Induction of labour versus expectant management in women with preterm prelabour rupture of membranes

Background: Preterm prelabour rupture of the membranes (PPROM) is an important clinical problem and a dilemma for the gynaecologist. On the one hand, awaiting spontaneous labour increases the probability of infectious disease for both mother and child, whereas on the other hand induction of labour leads to preterm birth with an increase in neonatal morbidity (e.g., respiratory distress syndrome...

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ژورنال

عنوان ژورنال: BMJ

سال: 1999

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.318.7190.1059