Evidence map›Paper›PMID 41277613›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2026

Is expectant management of late preterm prelabor rupture of membranes an option in patients with Group B streptococcus colonization?

Elior Eliasi, Sabina Razdolsky, Elena Minich, Shanny Kolp Asis, Ella Segal, Ariel Many, Miriam Lopian

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Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2026. 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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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Elior EliasiMa'ayanei Hayeshua Medical Center, Bnei Brak, Israel.
Sabina RazdolskyMa'ayanei Hayeshua Medical Center, Bnei Brak, Israel.
Elena MinichMa'ayanei Hayeshua Medical Center, Bnei Brak, Israel.
Shanny Kolp AsisMa'ayanei Hayeshua Medical Center, Bnei Brak, Israel.
Ella SegalSchool of Medicine, Tel Aviv University, Tel Aviv, Israel.
Ariel ManyMa'ayanei Hayeshua Medical Center, Bnei Brak, Israel.
Miriam LopianMa'ayanei Hayeshua Medical Center, Bnei Brak, Israel.ORCID https://orcid.org/0000-0001-5304-2296

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate whether expectant management of late preterm prelabor rupture of membranes (PPROM) in patients colonized with Group B streptococcus (GBS) is associated with an increased risk of adverse maternal and neonatal outcomes. STUDY

designThis cohort study analyzed data from singleton pregnancies complicated by late PPROM between 34

resultsA total of 217 patients met the inclusion criteria for this study. Among these, 98 (45.2%) were identified as GBS carriers, and 119 (54.8%) were noncarriers. Baseline characteristics were comparable between the two groups. There was no significant difference in the rates of chorioamnionitis (2.1% versus 0.5% P = 0.23), neonatal fever (2.1% versus 1.7% P = 0.42) latency from PPROM to delivery and adverse maternal or neonatal outcomes between GBS carriers and noncarriers.

conclusionExpectant management of GBS-colonized women with late PPROM, when accompanied by appropriate antibiotic prophylaxis and close maternal-fetal surveillance is not significantly associated with adverse outcomes and appears to be a safe option. These findings reinforce the need for evidence-based, individualized management strategies for GBS colonization in late PPROM.

Indexed as

Pregnancy Complications, InfectiousPremature Rupture of Fetal MembranesStreptococcal InfectionsStreptococcus agalactiaeWatchful WaitingAdultAmpicillinAnti-Bacterial AgentsChorioamnionitisCohort StudiesFemaleHumansInfant, NewbornPregnancyPregnancy OutcomeAmpicillinAnti-Bacterial Agentsgroup B streptococcusinduction of laborneonatal intensive carePPROMscreeningsepsis

Identifiers

PMID41277613
PMCPMC13094673

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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.