Preterm XXXX of the membranes with @entity2241 present: a prospective study.

@entity1 @entity281 @entity397 @entity358 @entity2241
Ninety-nine @entity1 with @entity397 of the membranes (PROM) before 36 weeks' gestation and documented @entity2241 were studied prospectively. Fifty-two @entity1 in labor were allowed to deliver. The remaining 47 were randomly assigned to either prompt delivery (N = 26) or conservative management (N = 21). The overall corrected perinatal survival was excellent (96%). Only one death in the entire series clearly was due to prematurity. Expectant management prolonged gestation greater than one week in only four of 21 @entity1 (19%), and was associated with a significantly increased risk of @entity281 . There were no failed inductions of labor, and 22 of 24 induced @entity1 (92%) delivered vaginally. Neonatal morbidity was similar in each group. These findings in an indigent, largely black population suggest that when @entity358 is present, the maternal risks of conservative management may exceed the potential benefit to the fetus and newborn. The findings of this study may be specific to the population studied, and extrapolation to dissimilar populations may not be warranted.
