Evidence map›Paper›PMID 26831896›Full record

ArticleBMC pregnancy and childbirth2016

Neonatal and maternal outcomes following midtrimester preterm premature rupture of the membranes: a retrospective cohort study.

Laura Aoife Linehan, Jennifer Walsh, Aoife Morris, Louise Kenny, Keelin O'Donoghue, Eugene Dempsey, Noirin Russell

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04047849 phase4recruitingnot on this mapstarted 2019, after this paper: background citation

The Effect of Antibiotics on Latency in Previable Prelabor Rupture of Membranes Between 18 0/7 and 22 6/7 Weeks Gestational Age

TypeinterventionalSponsorWoman'sRan2019 to 2021Enrolled34ConditionsRupture of Membranes, Delayed Delivery (Following Spontaneous Rupture), Rupture of Membranes, PrematureArmsAntibiotics, oral Azithromycin and oral Amoxicillin
NCT05345457 phase4terminatednot on this mapstarted 2023, after this paper: background citation

Outpatient Antibiotics Following Previable Rupture of Membranes (pPPROM) Between 18 0/7 and 22 6/7 Weeks Gestational Age

TypeinterventionalSponsorUniversity Hospitals Cleveland Medical CenterRan2023 to 2024Enrolled1ConditionsPregnancy Preterm, Pregnancy Prom, PROM, Preterm (Pregnancy), PROM (Pregnancy)ArmsAzithromycin Pill, Amoxicillin Pill
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 73 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Observational
  15. Nonovert disseminated intravascular coagulation (DIC) in pregnancy: a new scoring system for the identification of patients at risk for obstetrical hemorrhage requiring blood product transfusion.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Laura Aoife LinehanThe Department of Obstetrics and Gynaecology, University College Cork and Cork University Hospital, Cork, Ireland. lauralinehan708@gmail.com.
Jennifer WalshThe Department of Obstetrics and Gynaecology, University College Cork and Cork University Hospital, Cork, Ireland.
Aoife MorrisThe Department of Obstetrics and Gynaecology, University College Cork and Cork University Hospital, Cork, Ireland.
Louise KennyThe Department of Obstetrics and Gynaecology, University College Cork and Cork University Hospital, Cork, Ireland.
Keelin O'DonoghueThe Department of Obstetrics and Gynaecology, University College Cork and Cork University Hospital, Cork, Ireland.
Eugene DempseyThe Department of Paediatrics and Child Health, University College Cork, Cork, Ireland.
Noirin RussellThe Department of Obstetrics and Gynaecology, University College Cork and Cork University Hospital, Cork, Ireland.
University College Cork · IECork University Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreterm premature rupture of membranes (PPROM) complicates 1% of all pregnancies and occurs in one third of all preterm deliveries. Midtrimester PPROM is often followed by spontaneous miscarriage and elective termination of ongoing pregnancies is offered in many countries. The aim of this retrospective descriptive cohort study was to investigate the natural history of midtrimester PPROM in a jurisdiction where termination of pregnancy in the absence of maternal compromise is unavailable.

methodsCases of midtrimester PPROM diagnosed between 14 and 23 + 6 weeks' gestation during April 2007 to June 2012 were identified following a manual search of all birth registers, pregnancy loss registers, annual reports, ultrasound reports, emergency room registers and neonatal death certificates at Cork University Maternity Hospital - a large (circa 8500 births per annum) tertiary referral maternity hospital in southwest Ireland. Cases where delivery occurred within 24 h of PPROM were excluded.

resultsThe prevalence of midtrimester PPROM was 0.1% (42 cases/44,667 births). The mean gestation at PPROM was 18 weeks. The mean gestation at delivery was 20 + 5 weeks, with an average latency period of 13 days. Ten infants were born alive (23%; 10/42). The remainder (77%; 32/42) died in utero or intrapartum. Nine infants were resuscitated. Two infants survived to discharge. The overall mortality rate was 95% (40/42). Five women had clinical chorioamnionitis (12%; 5/42) but 69% demonstrated histological chorioamnionitis. One woman developed sepsis (2.4%; 1/42). Other maternal complications included requirement of intravenous antibiotic treatment (38%; 17/42), retained placenta (21%, 9/42) and post-partum haemorrhage (12%; 5/42).

conclusionsThis study provides useful and contemporary data on midtrimester PPROM. Whilst fetal and neonatal mortality is high, long-term survival is not impossible. The increased risk of maternal morbidity necessitates close surveillance.

Indexed as

Perinatal MortalityPregnancy Trimester, SecondAdultChorioamnionitisFemaleGestational AgeHumansInfantInfant, NewbornInfant, PrematureIrelandLive BirthObstetric Labor ComplicationsPregnancyPregnancy OutcomePremature Birth

Identifiers

PMID26831896
PMCPMC4734873
OpenAlexW2271435829

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.