Management of premature rupture of membranes in term patients: a review of the literature

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Title Management of premature rupture of membranes in term patients: a review of the literature
Publication Type thesis
School or College College of Nursing
Department Nursing
Author Gobel, Virginia Tucker
Date 1991-12
Description The question of premature rupture of membranes (PROM) in patients at term gestation has been reopened in the last 10 to 15 years. This thesis is a review of the studies from 1979 to 1990 concerning management of patients with PROM at term. There were 12 relevant studies during this period. Four of the 12 studies met inclusion criteria for statistical comparison and were subjected to a vote-counting procedure. Mean complication rates between induced and expectantly managed (i.e., await spontaneous onset of labor without intervention) patients were not statistically different. The remaining 8 of 12 studies support expectant management if initial vaginal examination is avoided; however, each study had design limitations. Given the historical documentation of maternal and neonatal risk for infection, it is felt that expectant management should be followed only in selective cases. A reasonable, prudent clinical protocol for expectant management is outlined in this thesis. It was the conclusion of this review that more research utilizing larger sample sizes, randomization, and identical diagnostic criteria and management protocols were needed to answer this question conclusively.
Type Text
Publisher University of Utah
Subject Prevention and Control; Nurses' Instruction
Subject MESH Chorioamnionitis; Delivery, Obstetric; Fetal Membranes, Premature Rupture; Labor Complications; Obstetrical Nursing; Pregnancy Outcome; Risk Factors; Septicemia; Puerperal Infection
Dissertation Institution University of Utah
Dissertation Name MS
Language eng
Relation is Version of Digital reproduction of "Management of premature rupture of membranes in term patients: a review of the literature." Spencer S. Eccles Health Sciences Library. Print version of "Management of premature rupture of membranes in term patients: a review of the literature." available at J. Willard Marriott Library Special Collection. RG41.5 1991 .G62.
Rights Management © Gobel, Virginia Tucker.
Format application/pdf
Format Medium application/pdf
Format Extent 1,021,314 bytes
Identifier undthes,4599
Source Original: University of Utah Spencer S. Eccles Health Sciences Library (no longer available).
Master File Extent 1,021,496 bytes
ARK ark:/87278/s6fq9zg2
Setname ir_etd
ID 191687
Reference URL https://collections.lib.utah.edu/ark:/87278/s6fq9zg2