CC BY-NC-ND 4.0 · Geburtshilfe Frauenheilkd 2024; 84(01): 43-47
DOI: 10.1055/a-2205-1725
GebFra Science
Statement

Statement of the Obstetrics and Prenatal Medicine Working Group (AGG – Preterm Birth Section) on “Outpatient Management for Pregnant Women with Preterm Premature Rupture of Membranes (PPROM)”

Article in several languages: English | deutsch
Mirjam Kunze
1   Klinik für Frauenheilkunde, Universitätsklinikum Freiburg, Freiburg, Germany (Ringgold ID: RIN127713)
,
Holger Maul
2   Frauenkliniken, Asklepios Kliniken Barmbek, Wandsbek und Nord-Heidberg, Hamburg, Germany (Ringgold ID: RIN9161)
,
2   Frauenkliniken, Asklepios Kliniken Barmbek, Wandsbek und Nord-Heidberg, Hamburg, Germany (Ringgold ID: RIN9161)
,
Patrick Stelzl
3   Universitätsklinik für Gynäkologie, Geburtshilfe und Gynäkologische Endokrinologie, Kepler Universitätsklinikum, Johannes Kepler Universität Linz, Linz, Austria (Ringgold ID: RIN31197)
,
Werner Rath
4   Medizinische Fakultät, Gynäkologie und Geburtshilfe, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Germany (Ringgold ID: RIN54186)
,
Richard Berger
5   Klinik für Gynäkologie und Geburtshilfe, Marienhaus Klinikum St. Elisabeth, Neuwied, Germany (Ringgold ID: RIN39639)
› Author Affiliations

Abstract

Preterm premature rupture of membranes (PPROM) is one of the leading causes of perinatal morbidity and mortality. After a PPROM, more than 50% of pregnant women are delivered within 7 days. Fetal and maternal risks are primarily due to infection and inflammation, placental abruption, umbilical cord complications and preterm birth.

Standard care usually consists of an expectant approach. Management includes the administration of antenatal steroids and antibiotic therapy. Patients with PPROM require close monitoring.

The management of pregnant women with PPROM (inpatient vs. outpatient) is still the subject of controversial debate. The international guidelines also do not offer a clear stance. The statement presented here discusses the current state of knowledge.



Publication History

Received: 18 October 2023

Accepted after revision: 05 November 2023

Article published online:
03 January 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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