Evidence map›Paper›PMID 39928128›Full record

ArticleArchives of gynecology and obstetrics2025

Latency to delivery and incidence of adverse obstetric and perinatal outcomes in preterm premature rupture of membranes before 32 weeks.

Viola Seravalli, Chiara Colucci, Chiara Di Cencio, Anna Morucchio, Federica Barsanti, Mariarosaria Di Tommaso

Abstract read
In one paragraph

Article in Archives of gynecology and obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Review
  2. Article
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  10. [Factors influencing very preterm birth at less than 32 weeks of gestation: a multicenter retrospective study].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics
    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

6 authors.

Viola SeravalliDepartment of Health Sciences, Division of Obstetrics and Gynecology, University of Florence, Largo G. A. Brambilla, 3, 50134, Florence, Italy. viola.seravalli@unifi.it.ORCID 0000-0001-8706-3925
Chiara ColucciDepartment of Health Sciences, Division of Obstetrics and Gynecology, University of Florence, Largo G. A. Brambilla, 3, 50134, Florence, Italy.
Chiara Di CencioDepartment of Health Sciences, Division of Obstetrics and Gynecology, University of Florence, Largo G. A. Brambilla, 3, 50134, Florence, Italy.
Anna MorucchioDepartment of Health Sciences, Division of Obstetrics and Gynecology, University of Florence, Largo G. A. Brambilla, 3, 50134, Florence, Italy.
Federica BarsantiDepartment of Health Sciences, Division of Obstetrics and Gynecology, University of Florence, Largo G. A. Brambilla, 3, 50134, Florence, Italy.
Mariarosaria Di TommasoDepartment of Health Sciences, Division of Obstetrics and Gynecology, University of Florence, Largo G. A. Brambilla, 3, 50134, Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to evaluate the average latency to delivery, obstetric outcomes and neonatal survival in pregnancies complicated by preterm premature rupture of membranes (PPROM) before 32 weeks.

methodsA retrospective study was conducted on pregnant women admitted for PPROM before 32 weeks. Patients were categorized into three groups based on gestational age (GA) at PPROM (< 24, 24 to 28, 28 to 32 weeks). Latency to delivery, obstetric outcomes and neonatal survival were analyzed.

results86 women who had PPROM before 32 weeks were identified. The mean GA at PPROM was 26.1 weeks and the median latency to delivery was 16 days (IQR 4, 27). The median latency to delivery was 22 days for previable PPROM, 11 days for PPROM between 24 and 28 weeks, and 16 days for PPROM between 28 and 32 weeks (p = 0.29). All cases of placental abruption (7/86, 8%) and cord prolapse (6/86, 7%) occurred in women with PPROM before 28 weeks. In 44% of PPROM, placental histology demonstrated chorionamnionitis. Neonatal survival at discharge was significantly lower in previable PPROM (< 24 weeks) compared to PPROM at 24-26 weeks (58% vs 92%, p = 0.04), and it reached 100% in cases of PPROM after 28 weeks.

conclusionIn PPROM occurring before 32 weeks the median latency to delivery ranged between 11 and 22 days. Neonatal survival improves with higher GA at PPROM, and it increases by more than 33% when PPROM occurs after 24 weeks of gestation. These data may be valuable for patient counselling.

Indexed as

Delivery, ObstetricPregnancy OutcomePremature Rupture of Fetal MembranesAbruptio PlacentaeAdultFemaleGestational AgeHumansIncidenceInfant, NewbornPregnancyRetrospective StudiesTime FactorsLatency to deliveryNeonatal survivalPlacental abruptionPremature rupture of membranePreterm birth

Identifiers

PMID39928128
PMCPMC12055622

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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.