At a glance
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Inpatient Versus Outpatient Management of Preterm Prelabour Rupture of Membrane. A Prospective Cohort Study
In Brief
An observational study evaluating Outpatient management of preterm prelabor rupture of membranes and Inpatient management of preterm prelabor rupture of membranes for Management of Preterm Prelabor Rupture of Membranes. Completed, enrolled 71 participants across 1 site.
Detailed Summary
Home-care management is possible if patients are clinically stable forty-eight hours after Preterm Prelabour Rupture of the membrane with no clinical or biological signs suggestive of intrauterine infection. Several retrospective studies have highlighted the safety of such outpatient management for women with nonthreatening Preterm Prelabour Rupture of the membrane. This prospective cohort study will compare inpatient versus outpatient management of preterm Prelabour rupture of membrane regarding latency, intra-amniotic infection, birth weight, and neonatal complications at 28 to 34 weeks of gestation after 48 hours of admission to Ain-Shams University Maternity Hospital.
Study Details
Timeline
Interventions
Patients who will be managed as outpatients will be discharged after 48 hours of hospitalization with the following management: * Twice weekly fetal cardiotocography. * Complete blood count once a week. * A weekly clinical and ultrasound examination.
In the Inpatient Care Policy group, the same protocol as outpatient group will be applied, but the patient will not be discharged until delivery.