To determine the current clinical practices of perinatologists regarding the management of premature rupture of membranes (PROM), 1,041 perinatologists were surveyed by multiple choice questionnaire with regard to induction of labor, use of antibiotics, tocolytic agents, and corticosteroids following uncomplicated PROM occurring between 19 and 36 weeks. The response rate was 51% (557/ 1,041). There was a consensus on expectant management of preterm PROM, except (1) where fetal lungs are found mature between 33 and 35 weeks gestation (51% induction vs. 44% expectant) and (2) at 19-22 weeks (71% undecided). During the expectant management the majority does not at any time use antibiotics, tocolytic agents, or corticosteroids. No uniform protocol has yet evolved for the management of preterm PROM, especially (1) between 33 and 35 weeks with mature fetal lungs, and (2) at 19-22 weeks gestation.
| Identifer | oai:union.ndltd.org:ETSU/oai:dc.etsu.edu:etsu-works-15087 |
| Date | 01 January 1993 |
| Creators | Nwosu, Uchenna C., Thatcher, Samuel S. |
| Publisher | Digital Commons @ East Tennessee State University |
| Source Sets | East Tennessee State University |
| Detected Language | English |
| Type | text |
| Source | ETSU Faculty Works |
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