PPROM, Microbiology And Management
Professor Jonathan Morris.
1Clinical and Population Perinatal Health Research, Kolling Institute of Medical Research, University of Sydney at Royal North Shore Hospital, Sydney, Australia
2University Department of Obstetrics, Royal North Shore Hospital, St Leonards, Sydney, Australia
Premature rupture of the membranes (rupture of the membranes prior to the onset of labour) occurs in 20% of all births and 40% of all preterm births. At term there is good evidence that immediate delivery is associated with a lower incidence of maternal infection and increased maternal satisfaction compared with expectant management, with no attendant risks of perinatal morbidity or mortality. In contrast the optimal management of women with preterm prelabour rupture of membranes (PPROM) prior to 37 weeks, is debated with evidence of substantial practice variation internationally particularly in women who present late term, beyond 34 weeks gestation. This presentation will cover the association between microbiological findings and PPROM as well as evidence that inform best practice when a woman presents with PPROM at different gestational ages.