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Preterm Rupture of Membranes
Editor’s Note:
The topic of Preterm Premature Rupture of Membranes (PPROM) was the subject of the Dec 2001 issue of Clinics in Perinatology. Since neonatologists are occasionally called upon to advise obstetricians or counsel families with this condition, I felt that an update on the latest recommendations might be helpful. ABKPPROM after Cervical Cerclage
Lee RM and Major CA. Clinics in Perinatology (Dec 2001); 28:877-84.
There is a 38% incidence of PPROM after cerclage. Recent data showed that the latency period before delivery was longer and there were no differences in neonatal or maternal infection if the cerclage removal was delayed for at least 48 hours. During this period, the patient could be treated with antibiotic prophylaxis and antenatal corticosteroids.
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