Effects of intentional delivery on maternal and neonatal outcomes in pregnancies with preterm prelabour rupture of membranes between 28 and 34 weeks of gestation: a systematic review and meta-analysis
作者： Hazem Al-Mandeel , Mohammed Y. Alhindi , Reg Sauve
DOI: 10.3109/14767058.2012.718388
关键词:
摘要: Objective: To assess the effects of intentional delivery (ID) over expectant management (EM) in pregnancies complicated by preterm prelabour rupture membranes (PPROM) between 28 and 34 weeks gestation on maternal neonatal outcomes. Methods: We searched Ovid MEDLINE, EMBASE, CINAHL, CENTRAL Science Citation Index; contacted experts checked reference lists relevant studies. Studies were included if they randomized controlled trials all languages. Results: Five 488 subjects analyzed. Overall, results showed significant heterogeneity. Maternal infection as well respiratory distress syndrome (RDS) & sepsis (NS) not different two groups. Neonatal death, however, was significantly higher (risk ratio: 5.81; 95% CI: 1.35–25.08; p = 0.03) ID group after excluding studies that gave antenatal steroids. Incidence cesarean section group, rati...
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