Two-year neonatal outcome following PPROM prior to 25 weeks with a prolonged period of oligohydramnios.

Abstract:

BACKGROUND:Improved neonatal survival data have been reported following early preterm prelabour rupture of membranes (PPROM) prior to 25 weeks gestation with a prolonged latency to delivery and persistent oligohydramnios. However, data regarding long-term respiratory and neurological morbidity are lacking. AIMS:To evaluate the respiratory and neurological outcome data at two years of age in a cohort of infants born following PPROM prior to 25 weeks with a prolonged latency (14 days) to delivery and compare the data to an aged matched group of infants. METHODS:Retrospective case note analysis over a 43-month period at Saint Luc University Hospital, Brussels. RESULTS:15 surviving infants born following PPROM were matched to a group of 30 control infants. Although there was no significant difference in the incidence of BPD between the groups (33% vs 27%, p=0.24), the length of hospitalisation, duration of respiratory support and number of hospital readmissions for respiratory indications were all significantly higher for infants born following a prolonged period of oligohydramnios. There were no major anomalies on cranial ultrasound in the PPROM group and Baileys developmental assessment at 20-24 months corrected gestational age showed no difference between the two groups (Mental development index 93.9 vs 94.4 and Psychomotor development index 95.5 vs 95.8 respectively p = ns). CONCLUSION:Neurodevelopmental outcome appears encouraging in this cohort although these infants are at high risk of prolonged initial hospitalisation and significant respiratory morbidity in the first two-years of life.

journal_name

Early Hum Dev

journal_title

Early human development

authors

Williams O,Michel B,Hutchings G,Debauche C,Hubinont C

doi

10.1016/j.earlhumdev.2012.01.012

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

657-61

issue

8

eissn

0378-3782

issn

1872-6232

pii

S0378-3782(12)00040-0

journal_volume

88

pub_type

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