ArticleAJP reports2025
A Comparison of Severe Maternal Morbidity After Pre- and Periviable Premature Prelabor Rupture of Membranes in Multiple Gestations: Expectant Management versus Pregnancy Termination.
Article in AJP reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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4 authors.
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Abstract
Objective: To compare severe maternal morbidity (SMM) and mortality after pre- or periviable prelabor rupture of membranes (pPPROM) in multiple gestation pregnancies among individuals choosing expectant management (EM) or termination of pregnancy (TOP). Study Design: A retrospective cohort study of multiple gestations with pPPROM between 14 Results: Forty-five twin and 1 triplet gestations were included ( Conclusion: One in four individuals with multiple gestations undergoing EM of pPPROM experienced at least one adverse maternal outcome by CDC criteria. There were no significant differences identified between EM and TOP, likely due to the study's limited size. Key Points: More than 70% of multiples with pPPROM electing EM experienced an adverse maternal outcome.There was no difference in maternal morbidity detected between EM and termination.One in four multiples with pPPROM electing EM had a severe adverse maternal outcome.Given disparities in access to termination, understanding maternal risks of pPPROM is critical.
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