title: Outcomes in cephalic vs noncephalic presentation in the setting of preterm premature rupture of membranes.
abstract: OBJECTIVE
  This study was conducted to determine whether fetal position at the time of preterm premature rupture of membranes (PPROM) diagnosis affects outcomes.
  
  
  METHODS
  A retrospective study was designed to assess differences in outcomes between cephalic and noncephalic presentation at PPROM diagnosis between 24 and 34 weeks' gestation.
  
  
  RESULTS
  Five hundred sixty-six cases of PPROM were identified; 108 cases (19.1%) were noncephalic at time of PPROM diagnosis. The 2 groups were similar with regard to demographics. Although membrane rupture and delivery occurred earlier in the noncephalic group, there was no difference in latency between groups (cephalic group, 6.22 days vs noncephalic group, 7.85 days; P = .07). Noncephalic pregnancies were substantially more likely to be complicated by oligohydramnios, abruption, intrauterine fetal death, and infectious morbidity.
  
  
  CONCLUSIONS
  Noncephalic presentation at the time of diagnosis of PPROM independently and significantly increases the risk of maternal complications in such affected pregnancies.
authors.affiliation: Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Health Sciences Center, University of Oklahoma School of Public Health, Oklahoma City, OK, USA. jrgoodman@lumn.edu
authors.forename: Jean Ricci
authors.initials: JR
authors.lastname: Goodman
authors.forename: Amy E
authors.initials: AE
authors.lastname: Lambert
authors.forename: Jennifer David
authors.initials: JD
authors.lastname: Peck
authors.forename: Katie M
authors.initials: KM
authors.lastname: Sutton
authors.forename: David R
authors.initials: DR
authors.lastname: Deschamps
mesh_terms: D000328:Adult; D036861:Delivery, Obstetric; D005260:Female; D005322:Premature Rupture of Fetal Membranes / Q000175:diagnosis*; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007746:Labor Presentation; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies